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 $11.48 Median $22.39 Typical High $42.66 | Facility | None | $11.48 | $22.39 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $12.88 | Professional | None | $9.55 | $11.48 | $12.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $131.83 | Facility | None | $16.98 | $24.55 | $131.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.80 Median $10.96 Typical High $10.96 | Professional | None | $3.80 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $28.18 Typical High $58.88 | Facility | None | $15.85 | $28.18 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $16.22 Typical High $21.88 | Professional | None | $6.76 | $16.22 | $21.88 |
Hally Health Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $81.28 | Professional | None | $14.79 | $20.42 | $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 $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $17.78 | Professional | None | $10.00 | $10.00 | $17.78 |
United Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $17.78 | Facility | None | $14.13 | $16.98 | $17.78 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $15.14 | Professional | None | $5.89 | $8.13 | $15.14 |
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 $5.75 Median $10.23 Typical High $21.38 | Facility | 52 · Reduced service | $5.75 | $10.23 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.07 Typical High $8.51 | Facility | 53 · Discontinued | $2.29 | $4.07 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $7.08 | Professional | 52 · Reduced service | $5.75 | $5.75 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.82 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 32nd of 51
$11.48
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.