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 $25.70 Median $45.71 Typical High $93.33 | Facility | None | $25.70 | $45.71 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $37.15 | Professional | None | $23.44 | $25.12 | $37.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $389.05 | Facility | None | $37.15 | $53.70 | $389.05 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $23.99 Typical High $23.99 | Professional | None | $3.47 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $72.44 Typical High $128.82 | Facility | None | $34.67 | $72.44 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $36.31 Typical High $54.95 | Professional | None | $16.22 | $36.31 | $54.95 |
Hally Health Setting Professional Modifier None Typical Low $30.90 Median $50.12 Typical High $177.83 | Professional | None | $30.90 | $50.12 | $177.83 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $38.90 | Professional | None | $16.98 | $21.88 | $38.90 |
United Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $79.43 | Facility | None | $30.90 | $37.15 | $79.43 |
United Setting Professional Modifier None Typical Low $4.90 Median $19.95 Typical High $33.88 | Professional | None | $4.90 | $19.95 | $33.88 |
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 $12.59 Median $22.39 Typical High $46.77 | Facility | 52 · Reduced service | $12.59 | $22.39 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $8.91 Typical High $18.62 | Facility | 53 · Discontinued | $5.13 | $8.91 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $15.49 | Professional | 52 · Reduced service | $12.59 | $12.59 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $6.17 | Professional | 53 · Discontinued | $5.13 | $5.13 | $6.17 |
Where Illinois sits
The same service costs 4.2 times more in Kansas 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
$23.99
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.