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 $13.18 Median $25.12 Typical High $48.98 | Facility | None | $13.18 | $25.12 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $14.79 | Professional | None | $12.02 | $13.18 | $14.79 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $151.36 | Facility | None | $19.50 | $28.18 | $151.36 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.63 Median $12.59 Typical High $12.59 | Professional | None | $3.63 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $33.11 Typical High $66.07 | Facility | None | $18.20 | $33.11 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $19.05 Typical High $27.54 | Professional | None | $8.13 | $19.05 | $27.54 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $25.70 Typical High $151.36 | Professional | None | $16.98 | $25.70 | $151.36 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $20.42 | Professional | None | $8.91 | $11.22 | $20.42 |
United Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $20.42 | Facility | None | $16.22 | $19.50 | $20.42 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.23 Typical High $17.38 | Professional | None | $6.76 | $10.23 | $17.38 |
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 $6.61 Median $11.75 Typical High $24.55 | Facility | 52 · Reduced service | $6.61 | $11.75 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $4.68 Typical High $9.77 | Facility | 53 · Discontinued | $2.63 | $4.68 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.61 Typical High $8.13 | Professional | 52 · Reduced service | $6.61 | $6.61 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $3.24 | Professional | 53 · Discontinued | $2.63 | $2.63 | $3.24 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in New York. 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
$13.18
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.