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 $22.39 Median $42.66 Typical High $81.28 | Facility | None | $22.39 | $42.66 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $22.39 Typical High $24.55 | Professional | None | $10.00 | $22.39 | $24.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.47 Median $36.31 Typical High $251.19 | Facility | None | $10.47 | $36.31 | $251.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $18.62 Typical High $20.89 | Professional | None | $3.47 | $18.62 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $54.95 Typical High $112.20 | Facility | None | $18.20 | $54.95 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $18.62 Typical High $39.81 | Professional | None | $6.03 | $18.62 | $39.81 |
Hally Health Setting Professional Modifier None Typical Low $19.95 Median $35.48 Typical High $60.26 | Professional | None | $19.95 | $35.48 | $60.26 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $33.88 | Professional | None | $13.49 | $13.49 | $33.88 |
United Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $33.88 | Facility | None | $26.92 | $32.36 | $33.88 |
United Setting Professional Modifier None Typical Low $4.27 Median $11.48 Typical High $28.84 | Professional | None | $4.27 | $11.48 | $28.84 |
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 $11.22 Median $19.50 Typical High $40.74 | Facility | 52 · Reduced service | $11.22 | $19.50 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $7.76 Typical High $16.22 | Facility | 53 · Discontinued | $4.47 | $7.76 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.22 Typical High $12.30 | Professional | 52 · Reduced service | $10.96 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $4.90 | Professional | 53 · Discontinued | $4.37 | $4.47 | $4.90 |
Where Illinois sits
The same service costs 5.8 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· 23rd of 51
$20.89
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.