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 $5.75 Median $10.96 Typical High $21.38 | Facility | None | $5.75 | $10.96 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $5.75 Typical High $7.59 | Professional | None | $3.16 | $5.75 | $7.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $8.32 Median $12.30 Typical High $114.82 | Facility | None | $8.32 | $12.30 | $114.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $5.37 Typical High $7.08 | Professional | None | $3.47 | $5.37 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $13.80 Typical High $28.84 | Facility | None | $5.01 | $13.80 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $5.75 Typical High $10.47 | Professional | None | $1.78 | $5.75 | $10.47 |
Hally Health Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $22.39 | Professional | None | $5.62 | $9.77 | $22.39 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $8.71 | Professional | None | $3.89 | $3.89 | $8.71 |
United Setting Facility Modifier None Typical Low $7.08 Median $8.32 Typical High $8.71 | Facility | None | $7.08 | $8.32 | $8.71 |
United Setting Professional Modifier None Typical Low $2.00 Median $4.17 Typical High $7.59 | Professional | None | $2.00 | $4.17 | $7.59 |
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 $2.88 Median $5.13 Typical High $10.47 | Facility | 52 · Reduced service | $2.88 | $5.13 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.15 Median $2.04 Typical High $4.27 | Facility | 53 · Discontinued | $1.15 | $2.04 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.88 Typical High $3.47 | Professional | 52 · Reduced service | $2.88 | $2.88 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.41 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.41 |
Where Illinois sits
The same service costs 5.4 times more in Alaska than in Kentucky. 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· 28th of 51
$5.75
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.