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 $83.18 | Facility | None | $22.39 | $42.66 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $24.55 | Professional | None | $16.98 | $22.39 | $24.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $33.11 Median $46.77 Typical High $257.04 | Facility | None | $33.11 | $46.77 | $257.04 |
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 $30.20 Median $57.54 Typical High $112.20 | Facility | None | $30.20 | $57.54 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $32.36 Typical High $45.71 | Professional | None | $13.18 | $32.36 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $151.36 | Professional | None | $30.20 | $42.66 | $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 $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
United Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $33.88 | Facility | None | $27.54 | $33.11 | $33.88 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $29.51 | Professional | None | $11.48 | $16.22 | $29.51 |
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 $19.95 Typical High $41.69 | Facility | 52 · Reduced service | $11.22 | $19.95 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $7.94 Typical High $16.60 | Facility | 53 · Discontinued | $4.47 | $7.94 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $12.30 | Professional | 52 · Reduced service | $11.22 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.90 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.90 |
Where Illinois sits
The same service costs 5.4 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· 44th 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.