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 $21.38 Median $30.90 Typical High $60.26 | Facility | None | $21.38 | $30.90 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $30.90 | Professional | None | $25.70 | $30.90 | $30.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $48.98 Median $151.36 Typical High $457.09 | Facility | None | $48.98 | $151.36 | $457.09 |
BCBS Illinois Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | None | $37.15 | $37.15 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $61.66 Typical High $138.04 | Facility | None | $2.57 | $61.66 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $31.62 Typical High $41.69 | Professional | None | $12.30 | $31.62 | $41.69 |
Hally Health Setting Professional Modifier None Typical Low $13.49 Median $19.95 Typical High $100.00 | Professional | None | $13.49 | $19.95 | $100.00 |
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 $16.60 Median $16.98 Typical High $18.20 | Professional | None | $16.60 | $16.98 | $18.20 |
Molina Setting Professional Modifier None Typical Low $2.29 Median $4.57 Typical High $9.12 | Professional | None | $2.29 | $4.57 | $9.12 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $457.09 | Facility | None | $407.38 | $407.38 | $457.09 |
United Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $32.36 | Professional | None | $10.47 | $16.98 | $32.36 |
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 $14.13 Median $19.50 Typical High $57.54 | Facility | 52 · Reduced service | $14.13 | $19.50 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $7.76 Typical High $22.91 | Facility | 53 · Discontinued | $5.62 | $7.76 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $5.75 | $6.17 | $6.17 |
Where Illinois sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 14th of 51
$37.15
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.