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 $17.78 Median $33.88 Typical High $66.07 | Facility | None | $17.78 | $33.88 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | None | $17.78 | $17.78 | $19.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $26.30 Median $38.02 Typical High $354.81 | Facility | None | $26.30 | $38.02 | $354.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $21.88 | Professional | None | $3.47 | $5.89 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $43.65 Typical High $91.20 | Facility | None | $24.55 | $43.65 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $24.55 Typical High $33.11 | Professional | None | $11.75 | $24.55 | $33.11 |
Hally Health Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $81.28 | Professional | None | $22.91 | $34.67 | $81.28 |
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 $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $27.54 | Professional | None | $15.14 | $15.14 | $27.54 |
United Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $27.54 | Facility | None | $21.88 | $26.30 | $27.54 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $22.91 | Professional | None | $9.12 | $13.18 | $22.91 |
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 $8.91 Median $15.85 Typical High $33.11 | Facility | 52 · Reduced service | $8.91 | $15.85 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $6.31 Typical High $13.18 | Facility | 53 · Discontinued | $3.55 | $6.31 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $9.77 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.89 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.89 |
Where Illinois sits
The same service costs 3.6 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· 21st of 51
$21.88
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.