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 $19.05 Median $37.15 Typical High $70.79 | Facility | None | $19.05 | $37.15 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | None | $19.05 | $19.05 | $22.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $29.51 Median $47.86 Typical High $239.88 | Facility | None | $29.51 | $47.86 | $239.88 |
BCBS Illinois Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $27.54 | Professional | None | $17.78 | $18.62 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $51.29 Typical High $97.72 | Facility | None | $26.30 | $51.29 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $56.23 | Professional | None | $19.05 | $25.70 | $56.23 |
Hally Health Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $120.23 | Professional | None | $24.55 | $40.74 | $120.23 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $33.11 | Professional | None | $12.59 | $16.22 | $33.11 |
United Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $58.88 | Facility | None | $22.91 | $27.54 | $58.88 |
United Setting Professional Modifier None Typical Low $9.77 Median $14.79 Typical High $25.12 | Professional | None | $9.77 | $14.79 | $25.12 |
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 $9.55 Median $18.20 Typical High $34.67 | Facility | 52 · Reduced service | $9.55 | $18.20 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $7.24 Typical High $14.13 | Facility | 53 · Discontinued | $3.80 | $7.24 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $11.48 | Professional | 52 · Reduced service | $9.55 | $9.55 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.68 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.68 |
Where Illinois sits
The same service costs 3.5 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· 41st of 51
$19.05
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.