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 $47.86 | Facility | None | $13.18 | $25.12 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $15.85 | Professional | None | $12.88 | $13.18 | $15.85 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $194.98 | Facility | None | $19.05 | $29.51 | $194.98 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.49 Typical High $15.85 | Professional | None | $3.47 | $13.49 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $32.36 Typical High $66.07 | Facility | None | $18.20 | $32.36 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $18.20 Typical High $25.12 | Professional | None | $7.76 | $18.20 | $25.12 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $25.70 Typical High $75.86 | Professional | None | $16.98 | $25.70 | $75.86 |
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 $8.71 Median $8.71 Typical High $19.95 | Professional | None | $8.71 | $8.71 | $19.95 |
United Setting Facility Modifier None Typical Low $15.85 Median $19.05 Typical High $19.95 | Facility | None | $15.85 | $19.05 | $19.95 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $16.98 | Professional | None | $6.76 | $10.00 | $16.98 |
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 $11.48 Typical High $23.99 | Facility | 52 · Reduced service | $6.61 | $11.48 | $23.99 |
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 $7.94 | Professional | 52 · Reduced service | $6.61 | $6.61 | $7.94 |
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 3.5 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· 24th of 51
$15.85
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.