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 $52.48 Median $100.00 Typical High $194.98 | Facility | None | $52.48 | $100.00 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $64.57 | Professional | None | $47.86 | $52.48 | $64.57 |
BCBS Illinois Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $812.83 | Facility | None | $77.62 | $112.20 | $812.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $48.98 Typical High $48.98 | Professional | None | $3.47 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $128.82 Typical High $269.15 | Facility | None | $72.44 | $128.82 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $61.66 Typical High $93.33 | Professional | None | $28.18 | $61.66 | $93.33 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $263.03 | Professional | None | $67.61 | $100.00 | $263.03 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $79.43 | Professional | None | $35.48 | $35.48 | $79.43 |
United Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $79.43 | Facility | None | $64.57 | $77.62 | $79.43 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $67.61 | Professional | None | $22.91 | $32.36 | $67.61 |
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 $26.30 Median $46.77 Typical High $97.72 | Facility | 52 · Reduced service | $26.30 | $46.77 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $18.62 Typical High $38.90 | Facility | 53 · Discontinued | $10.47 | $18.62 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 52 · Reduced service | $26.30 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $11.48 | Professional | 53 · Discontinued | $10.47 | $10.47 | $11.48 |
Where Illinois sits
The same service costs 6.0 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· 37th of 51
$48.98
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.