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 $14.13 Median $23.99 Typical High $48.98 | Facility | None | $14.13 | $23.99 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $19.50 | Professional | None | $12.88 | $13.49 | $19.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $20.89 Median $35.48 Typical High $169.82 | Facility | None | $20.89 | $35.48 | $169.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.89 Median $12.59 Typical High $12.59 | Professional | None | $3.89 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $38.02 Typical High $67.61 | Facility | None | $18.20 | $38.02 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $19.50 Typical High $29.51 | Professional | None | $8.51 | $19.50 | $29.51 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $28.84 Typical High $223.87 | Professional | None | $16.98 | $28.84 | $223.87 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $20.42 | Professional | None | $8.13 | $8.91 | $20.42 |
United Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $41.69 | Facility | None | $16.22 | $19.50 | $41.69 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $17.78 | Professional | None | $6.92 | $10.47 | $17.78 |
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 $6.76 Median $11.75 Typical High $24.55 | Facility | 52 · Reduced service | $6.76 | $11.75 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $4.79 Typical High $10.00 | Facility | 53 · Discontinued | $2.69 | $4.79 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $8.13 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.24 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.24 |
Where Illinois sits
The same service costs 5.4 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· 34th of 51
$14.13
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.