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 $10.72 Median $20.42 Typical High $39.81 | Facility | None | $10.72 | $20.42 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $11.75 | Professional | None | $10.00 | $10.72 | $11.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $15.14 Median $20.42 Typical High $123.03 | Facility | None | $15.14 | $20.42 | $123.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $9.12 Typical High $10.23 | Professional | None | $3.47 | $9.12 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $26.30 Typical High $54.95 | Facility | None | $14.79 | $26.30 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $15.14 Typical High $19.50 | Professional | None | $5.37 | $15.14 | $19.50 |
Hally Health Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $70.79 | Professional | None | $13.18 | $18.62 | $70.79 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $16.60 | Professional | None | $7.24 | $7.24 | $16.60 |
United Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $23.99 | Facility | None | $13.18 | $15.85 | $23.99 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $13.80 | Professional | None | $4.79 | $6.61 | $13.80 |
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 $5.37 Median $9.55 Typical High $19.95 | Facility | 52 · Reduced service | $5.37 | $9.55 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $3.80 Typical High $7.94 | Facility | 53 · Discontinued | $2.14 | $3.80 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $6.61 | Professional | 52 · Reduced service | $5.37 | $5.37 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.63 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.63 |
Where Illinois sits
The same service costs 4.7 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· 30th of 51
$10.47
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.