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 $42.66 Median $75.86 Typical High $154.88 | Facility | None | $42.66 | $75.86 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $50.12 | Professional | None | $39.81 | $41.69 | $50.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $61.66 Median $89.13 Typical High $478.63 | Facility | None | $61.66 | $89.13 | $478.63 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $35.48 Typical High $39.81 | Professional | None | $3.47 | $35.48 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $213.80 | Facility | None | $57.54 | $107.15 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $61.66 Typical High $85.11 | Professional | None | $25.12 | $61.66 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $199.53 | Professional | None | $56.23 | $81.28 | $199.53 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $64.57 | Facility | None | $51.29 | $61.66 | $64.57 |
United Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $91.20 | Professional | None | $30.90 | $54.95 | $91.20 |
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 $20.89 Median $37.15 Typical High $77.62 | Facility | 52 · Reduced service | $20.89 | $37.15 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $14.79 Typical High $30.90 | Facility | 53 · Discontinued | $8.32 | $14.79 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 52 · Reduced service | $20.89 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.12 |
Where Illinois sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 48th of 51
$39.81
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.