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 $9.55 Median $14.45 Typical High $35.48 | Facility | None | $9.55 | $14.45 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.48 | Professional | None | $9.55 | $9.55 | $11.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $109.65 | Facility | None | $12.02 | $16.60 | $109.65 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $9.12 Typical High $9.12 | Professional | None | $3.47 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $48.98 | Facility | None | $13.18 | $23.99 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $13.18 Typical High $18.20 | Professional | None | $5.50 | $13.18 | $18.20 |
Hally Health Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $33.88 | Professional | None | $11.22 | $16.98 | $33.88 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $14.79 | Professional | None | $8.32 | $8.32 | $14.79 |
United Setting Facility Modifier None Typical Low $11.75 Median $14.13 Typical High $18.20 | Facility | None | $11.75 | $14.13 | $18.20 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.08 Typical High $12.30 | Professional | None | $4.57 | $7.08 | $12.30 |
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 $4.79 Median $8.51 Typical High $17.78 | Facility | 52 · Reduced service | $4.79 | $8.51 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $3.39 Typical High $7.08 | Facility | 53 · Discontinued | $1.95 | $3.39 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $5.89 | Professional | 52 · Reduced service | $4.79 | $4.79 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.34 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.34 |
Where Illinois sits
The same service costs 3.4 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· 43rd of 51
$9.12
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.