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 $3.31 Median $5.75 Typical High $12.30 | Facility | None | $3.31 | $5.75 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.55 Typical High $5.37 | Professional | None | $3.31 | $3.55 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $5.37 Typical High $5.37 | Professional | None | $2.00 | $5.37 | $5.37 |
BCBS Setting Facility Modifier None Typical Low $5.37 Median $10.47 Typical High $44.67 | Facility | None | $5.37 | $10.47 | $44.67 |
BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.47 Typical High $3.98 | Professional | None | $3.09 | $3.47 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $7.94 Typical High $16.22 | Facility | None | $4.37 | $7.94 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $4.57 Typical High $6.17 | Professional | None | $2.29 | $4.57 | $6.17 |
Hally Health Setting Professional Modifier None Typical Low $4.17 Median $6.17 Typical High $39.81 | Professional | None | $4.17 | $6.17 | $39.81 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $5.01 | Professional | None | $2.19 | $2.19 | $5.01 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.79 Typical High $8.91 | Facility | None | $3.98 | $4.79 | $8.91 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $4.47 | Professional | None | $2.40 | $3.55 | $4.47 |
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 $1.66 Median $2.88 Typical High $6.03 | Facility | 52 · Reduced service | $1.66 | $2.88 | $6.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.66 Median $1.17 Typical High $2.45 | Facility | 53 · Discontinued | $0.66 | $1.17 | $2.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.66 Median $1.66 Typical High $2.00 | Professional | 52 · Reduced service | $1.66 | $1.66 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.66 Typical High $0.79 | Professional | 53 · Discontinued | $0.66 | $0.66 | $0.79 |
Where Illinois sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 26th of 51
$3.98
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.