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 $6.31 Median $12.02 Typical High $22.91 | Facility | None | $6.31 | $12.02 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | None | $6.31 | $6.31 | $7.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.00 Median $16.60 Typical High $79.43 | Facility | None | $10.00 | $16.60 | $79.43 |
BCBS Illinois Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $5.89 | Professional | None | $5.25 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $16.98 Typical High $31.62 | Facility | None | $8.51 | $16.98 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $9.12 Typical High $13.80 | Professional | None | $3.89 | $9.12 | $13.80 |
Hally Health Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $50.12 | Professional | None | $7.94 | $13.49 | $50.12 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Molina Setting Professional Modifier None Typical Low $4.17 Median $5.37 Typical High $9.55 | Professional | None | $4.17 | $5.37 | $9.55 |
United Setting Facility Modifier None Typical Low $7.59 Median $9.12 Typical High $15.14 | Facility | None | $7.59 | $9.12 | $15.14 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.90 Typical High $8.32 | Professional | None | $3.24 | $4.90 | $8.32 |
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 $3.16 Median $5.50 Typical High $11.48 | Facility | 52 · Reduced service | $3.16 | $5.50 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $2.24 Typical High $4.57 | Facility | 53 · Discontinued | $1.26 | $2.24 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.80 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.51 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.51 |
Where Illinois sits
The same service costs 3.8 times more in Kansas 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· 34th of 51
$6.61
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.