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 $3.31 Median $6.31 Typical High $12.02 | Facility | None | $3.31 | $6.31 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.31 Typical High $4.37 | Professional | None | $3.09 | $3.31 | $4.37 |
BCBS Illinois Setting Facility Modifier None Typical Low $4.79 Median $7.08 Typical High $66.07 | Facility | None | $4.79 | $7.08 | $66.07 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.09 Median $3.47 Typical High $3.98 | Professional | None | $3.09 | $3.47 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $7.94 Typical High $16.22 | Facility | None | $4.37 | $7.94 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $4.37 Typical High $5.75 | Professional | None | $1.78 | $4.37 | $5.75 |
Hally Health Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $31.62 | Professional | None | $4.17 | $5.75 | $31.62 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $5.01 | Professional | None | $2.19 | $2.19 | $5.01 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.79 Typical High $5.01 | Facility | None | $3.98 | $4.79 | $5.01 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.16 Typical High $4.37 | Professional | None | $2.00 | $3.16 | $4.37 |
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 $1.66 Median $2.88 Typical High $6.03 | Facility | 52 · Reduced service | $1.66 | $2.88 | $6.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.66 Median $1.15 Typical High $2.45 | Facility | 53 · Discontinued | $0.66 | $1.15 | $2.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.66 Median $1.66 Typical High $2.00 | Professional | 52 · Reduced service | $1.66 | $1.66 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.66 Typical High $0.79 | Professional | 53 · Discontinued | $0.66 | $0.66 | $0.79 |
Where Illinois sits
The same service costs 3.3 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· 28th of 51
$3.63
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.