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 $19.95 Median $34.67 Typical High $74.13 | Facility | None | $19.95 | $34.67 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.95 Typical High $24.55 | Professional | None | $18.62 | $19.95 | $24.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $251.19 | Facility | None | $20.42 | $33.11 | $251.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $19.05 Typical High $19.05 | Professional | None | $3.47 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $56.23 Typical High $102.33 | Facility | None | $27.54 | $56.23 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $28.84 Typical High $43.65 | Professional | None | $12.88 | $28.84 | $43.65 |
Hally Health Setting Professional Modifier None Typical Low $24.55 Median $38.90 Typical High $125.89 | Professional | None | $24.55 | $38.90 | $125.89 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $30.90 | Professional | None | $13.49 | $13.49 | $30.90 |
United Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $63.10 | Facility | None | $24.55 | $29.51 | $63.10 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $26.30 | Professional | None | $8.32 | $14.79 | $26.30 |
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 $10.00 Median $17.78 Typical High $37.15 | Facility | 52 · Reduced service | $10.00 | $17.78 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $7.08 Typical High $14.79 | Facility | 53 · Discontinued | $3.98 | $7.08 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $12.30 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.90 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.90 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in Alabama. 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· 47th of 51
$19.05
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.