How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $13.49 Median $25.70 Typical High $50.12 | Facility | None | $13.49 | $25.70 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $18.62 | Professional | None | $12.88 | $13.49 | $18.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $20.89 Median $35.48 Typical High $169.82 | Facility | None | $20.89 | $35.48 | $169.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $12.88 Typical High $12.88 | Professional | None | $3.47 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $38.02 Typical High $69.18 | Facility | None | $18.62 | $38.02 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $19.50 Typical High $30.20 | Professional | None | $8.71 | $19.50 | $30.20 |
Hally Health Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $125.89 | Professional | None | $17.38 | $28.84 | $125.89 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $20.89 | Professional | None | $9.12 | $11.48 | $20.89 |
United Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $20.89 | Facility | None | $16.60 | $19.95 | $20.89 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.88 Typical High $17.78 | Professional | None | $6.92 | $12.88 | $17.78 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.76 Median $12.02 Typical High $25.12 | Facility | 52 · Reduced service | $6.76 | $12.02 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $4.79 Typical High $10.00 | Facility | 53 · Discontinued | $2.69 | $4.79 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $8.32 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.31 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.31 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 39th of 51
$14.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.