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 $32.36 Median $63.10 Typical High $120.23 | Facility | None | $32.36 | $63.10 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $38.02 | Professional | None | $28.84 | $32.36 | $38.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $501.19 | Facility | None | $46.77 | $69.18 | $501.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $26.92 Typical High $30.20 | Professional | None | $3.47 | $26.92 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $162.18 | Facility | None | $43.65 | $81.28 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $53.70 Typical High $66.07 | Professional | None | $19.95 | $53.70 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $158.49 | Professional | None | $43.65 | $63.10 | $158.49 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $48.98 | Facility | None | $38.90 | $46.77 | $48.98 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $38.90 | Professional | None | $16.60 | $23.44 | $38.90 |
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 $16.22 Median $31.62 Typical High $58.88 | Facility | 52 · Reduced service | $16.22 | $31.62 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $12.59 Typical High $23.99 | Facility | 53 · Discontinued | $6.46 | $12.59 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | 52 · Reduced service | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.08 |
Where Illinois sits
The same service costs 6.6 times more in Kansas than in Oklahoma. 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· 46th of 51
$30.20
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.