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 $3.89 Median $7.41 Typical High $14.45 | Facility | None | $3.89 | $7.41 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.89 Typical High $5.37 | Professional | None | $3.72 | $3.89 | $5.37 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.03 Median $8.51 Typical High $48.98 | Facility | None | $6.03 | $8.51 | $48.98 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $3.63 | Professional | None | $3.47 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $10.96 Typical High $20.42 | Facility | None | $5.50 | $10.96 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.75 Typical High $8.32 | Professional | None | $2.51 | $5.75 | $8.32 |
Hally Health Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $81.28 | Professional | None | $5.01 | $7.08 | $81.28 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Molina Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $5.89 | Professional | None | $2.63 | $2.63 | $5.89 |
United Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $12.02 | Facility | None | $4.79 | $5.75 | $12.02 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.02 Typical High $5.13 | Professional | None | $2.00 | $3.02 | $5.13 |
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 $1.95 Median $3.47 Typical High $7.24 | Facility | 52 · Reduced service | $1.95 | $3.47 | $7.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.38 Typical High $2.88 | Facility | 53 · Discontinued | $0.78 | $1.38 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $1.95 Typical High $2.40 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.95 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.95 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 38th of 51
$4.07
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.