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 $14.13 Median $26.92 Typical High $56.23 | Facility | None | $14.13 | $26.92 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $20.42 | Professional | None | $12.59 | $14.13 | $20.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $147.91 | Facility | None | $20.42 | $26.92 | $147.91 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $12.88 Typical High $14.13 | Professional | None | $3.47 | $12.88 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $74.13 | Facility | None | $19.95 | $34.67 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $22.39 Typical High $26.92 | Professional | None | $7.76 | $22.39 | $26.92 |
Hally Health Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $51.29 | Professional | None | $20.89 | $28.18 | $51.29 |
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 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $23.44 | Facility | None | $18.62 | $22.39 | $23.44 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $26.92 | Professional | None | $9.12 | $15.14 | $26.92 |
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 $7.08 Median $13.18 Typical High $27.54 | Facility | 52 · Reduced service | $7.08 | $13.18 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $5.25 Typical High $11.22 | Facility | 53 · Discontinued | $2.82 | $5.25 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.95 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in New Jersey. 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· 45th of 51
$14.13
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.