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 $72.44 Median $138.04 Typical High $263.03 | Facility | None | $72.44 | $138.04 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $87.10 | Professional | None | $70.79 | $72.44 | $87.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $93.33 Median $128.82 Typical High $812.83 | Facility | None | $93.33 | $128.82 | $812.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $67.61 Typical High $67.61 | Professional | None | $3.47 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $363.08 | Facility | None | $97.72 | $177.83 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $100.00 Typical High $134.90 | Professional | None | $41.69 | $100.00 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | None | $79.43 | $114.82 | $169.82 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $109.65 | Professional | None | $47.86 | $47.86 | $109.65 |
United Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $109.65 | Facility | None | $87.10 | $104.71 | $109.65 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $93.33 | Professional | None | $37.15 | $52.48 | $93.33 |
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 $36.31 Median $63.10 Typical High $131.83 | Facility | 52 · Reduced service | $36.31 | $63.10 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $25.70 Typical High $53.70 | Facility | 53 · Discontinued | $14.45 | $25.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | 53 · Discontinued | $14.45 | $14.45 | $17.38 |
Where Illinois sits
The same service costs 4.2 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· 37th of 51
$67.61
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.