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 $11.48 Median $21.88 Typical High $42.66 | Facility | None | $11.48 | $21.88 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $12.59 | Professional | None | $10.23 | $11.48 | $12.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.02 Median $19.05 Typical High $131.83 | Facility | None | $12.02 | $19.05 | $131.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.72 Typical High $10.72 | Professional | None | $3.47 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.18 Typical High $58.88 | Facility | None | $12.88 | $28.18 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $12.59 Typical High $20.42 | Professional | None | $4.17 | $12.59 | $20.42 |
Hally Health Setting Professional Modifier None Typical Low $10.96 Median $19.50 Typical High $60.26 | Professional | None | $10.96 | $19.50 | $60.26 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $17.78 | Professional | None | $7.76 | $9.77 | $17.78 |
United Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $17.78 | Facility | None | $14.13 | $16.98 | $17.78 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.76 Typical High $14.79 | Professional | None | $4.37 | $7.76 | $14.79 |
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 $5.75 Median $10.23 Typical High $21.38 | Facility | 52 · Reduced service | $5.75 | $10.23 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.07 Typical High $8.51 | Facility | 53 · Discontinued | $2.29 | $4.07 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $7.08 | Professional | 52 · Reduced service | $5.75 | $5.75 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.82 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 24th of 51
$10.72
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.