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 $16.98 Median $33.11 Typical High $63.10 | Facility | None | $16.98 | $33.11 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | None | $16.98 | $16.98 | $20.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $25.12 Median $40.74 Typical High $204.17 | Facility | None | $25.12 | $40.74 | $204.17 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $14.45 Typical High $16.22 | Professional | None | $3.47 | $14.45 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $87.10 | Facility | None | $23.44 | $45.71 | $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 $36.31 Typical High $70.79 | Professional | None | $21.88 | $36.31 | $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 $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $26.30 | Professional | None | $14.79 | $14.79 | $26.30 |
United Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $26.30 | Facility | None | $20.89 | $25.12 | $26.30 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $22.39 | Professional | None | $8.71 | $13.49 | $22.39 |
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 $8.51 Median $15.14 Typical High $31.62 | Facility | 52 · Reduced service | $8.51 | $15.14 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $6.03 Typical High $12.59 | Facility | 53 · Discontinued | $3.47 | $6.03 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $10.47 | Professional | 52 · Reduced service | $8.51 | $8.51 | $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 3.2 times more in Alaska than in New Jersey. 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· 46th 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.