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 $28.18 Median $54.95 Typical High $102.33 | Facility | None | $28.18 | $54.95 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $30.90 | Professional | None | $27.54 | $28.18 | $30.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $354.81 | Facility | None | $40.74 | $66.07 | $354.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $26.30 Typical High $26.30 | Professional | None | $3.47 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $81.28 Typical High $147.91 | Facility | None | $38.02 | $81.28 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $38.90 Typical High $52.48 | Professional | None | $16.22 | $38.90 | $52.48 |
Hally Health Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $112.20 | Professional | None | $36.31 | $54.95 | $112.20 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $42.66 | Professional | None | $23.99 | $33.88 | $42.66 |
United Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $42.66 | Facility | None | $33.88 | $40.74 | $42.66 |
United Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $36.31 | Professional | None | $14.45 | $20.89 | $36.31 |
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 $14.13 Median $26.92 Typical High $51.29 | Facility | 52 · Reduced service | $14.13 | $26.92 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $10.72 Typical High $20.89 | Facility | 53 · Discontinued | $5.62 | $10.72 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $14.13 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.17 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.17 |
Where Illinois sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 40th of 51
$26.30
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.