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 $21.38 Median $40.74 Typical High $79.43 | Facility | None | $21.38 | $40.74 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | None | $21.38 | $21.38 | $26.30 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.84 Median $38.90 Typical High $257.04 | Facility | None | $28.84 | $38.90 | $257.04 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $20.42 Typical High $20.42 | Professional | None | $3.47 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $57.54 Typical High $109.65 | Facility | None | $29.51 | $57.54 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $30.90 Typical High $46.77 | Professional | None | $13.49 | $30.90 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $61.66 | Professional | None | $23.44 | $35.48 | $61.66 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $33.11 | Professional | None | $14.45 | $14.45 | $33.11 |
United Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $33.11 | Facility | None | $26.30 | $31.62 | $33.11 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $28.18 | Professional | None | $10.96 | $15.85 | $28.18 |
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 $10.72 Median $19.05 Typical High $39.81 | Facility | 52 · Reduced service | $10.72 | $19.05 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $7.59 Typical High $15.85 | Facility | 53 · Discontinued | $4.27 | $7.59 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 52 · Reduced service | $10.72 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.25 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.25 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 42nd of 51
$20.42
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.