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 $22.39 Median $33.11 Typical High $81.28 | Facility | None | $22.39 | $33.11 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $33.11 | Professional | None | $16.98 | $22.39 | $33.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $346.74 | Facility | None | $32.36 | $38.90 | $346.74 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $20.89 Typical High $20.89 | Professional | None | $3.47 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $64.57 Typical High $125.89 | Facility | None | $30.20 | $64.57 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $30.90 Typical High $41.69 | Professional | None | $12.88 | $30.90 | $41.69 |
Hally Health Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $295.12 | Professional | None | $28.18 | $43.65 | $295.12 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $33.88 | Professional | None | $19.05 | $19.05 | $33.88 |
United Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $33.88 | Facility | None | $26.92 | $32.36 | $33.88 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $28.84 | Professional | None | $11.48 | $16.22 | $28.84 |
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 $11.22 Median $21.38 Typical High $40.74 | Facility | 52 · Reduced service | $11.22 | $21.38 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $8.51 Typical High $16.60 | Facility | 53 · Discontinued | $4.47 | $8.51 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $12.30 | Professional | 52 · Reduced service | $11.22 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.90 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.90 |
Where Illinois sits
The same service costs 4.0 times more in Alaska than in Alabama. 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· 38th of 51
$20.89
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.