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 $15.49 Median $25.70 Typical High $53.70 | Facility | None | $15.49 | $25.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $25.12 | Professional | None | $14.45 | $14.79 | $25.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $23.99 Median $54.95 Typical High $186.21 | Facility | None | $23.99 | $54.95 | $186.21 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.80 Typical High $13.80 | Professional | None | $3.47 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $42.66 Typical High $77.62 | Facility | None | $20.42 | $42.66 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $20.89 Typical High $28.84 | Professional | None | $9.33 | $20.89 | $28.84 |
Hally Health Setting Professional Modifier None Typical Low $18.62 Median $28.84 Typical High $85.11 | Professional | None | $18.62 | $28.84 | $85.11 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $22.39 | Professional | None | $9.77 | $9.77 | $22.39 |
United Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $22.39 | Facility | None | $17.78 | $21.38 | $22.39 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $19.50 | Professional | None | $7.59 | $11.48 | $19.50 |
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 $7.41 Median $14.13 Typical High $26.92 | Facility | 52 · Reduced service | $7.41 | $14.13 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $5.62 Typical High $10.96 | Facility | 53 · Discontinued | $2.95 | $5.62 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.41 Typical High $8.13 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.24 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.24 |
Where Illinois sits
The same service costs 3.3 times more in Alaska than in Georgia. 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
$13.80
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.