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 $17.38 Median $25.70 Typical High $63.10 | Facility | None | $17.38 | $25.70 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $20.89 | Professional | None | $15.85 | $17.38 | $20.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $218.78 | Facility | None | $25.12 | $38.90 | $218.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $16.22 Typical High $16.22 | Professional | None | $3.47 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $48.98 Typical High $87.10 | Facility | None | $23.44 | $48.98 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $24.55 Typical High $38.02 | Professional | None | $10.96 | $24.55 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $56.23 | Professional | None | $21.88 | $30.90 | $56.23 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $26.30 | Professional | None | $11.48 | $11.48 | $26.30 |
United Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $53.70 | Facility | None | $20.89 | $25.12 | $53.70 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.49 Typical High $22.91 | Professional | None | $8.91 | $13.49 | $22.91 |
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 $8.71 Median $15.14 Typical High $31.62 | Facility | 52 · Reduced service | $8.71 | $15.14 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $6.17 Typical High $12.88 | Facility | 53 · Discontinued | $3.47 | $6.17 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.17 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.17 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 50th of 51
$16.22
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.