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 $4.07 Median $6.92 Typical High $14.13 | Facility | None | $4.07 | $6.92 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $5.75 | Professional | None | $3.80 | $3.89 | $5.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.31 Median $11.22 Typical High $64.57 | Facility | None | $6.31 | $11.22 | $64.57 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $4.68 | Professional | None | $3.47 | $3.63 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $10.96 Typical High $19.05 | Facility | None | $5.13 | $10.96 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $5.75 Typical High $8.32 | Professional | None | $2.40 | $5.75 | $8.32 |
Hally Health Setting Professional Modifier None Typical Low $5.01 Median $8.32 Typical High $44.67 | Professional | None | $5.01 | $8.32 | $44.67 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $5.89 | Professional | None | $3.31 | $3.31 | $5.89 |
United Setting Facility Modifier None Typical Low $4.68 Median $5.62 Typical High $10.47 | Facility | None | $4.68 | $5.62 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.16 Typical High $5.13 | Professional | None | $2.00 | $3.16 | $5.13 |
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 $1.95 Median $3.39 Typical High $7.08 | Facility | 52 · Reduced service | $1.95 | $3.39 | $7.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.38 Typical High $2.88 | Facility | 53 · Discontinued | $0.78 | $1.38 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $1.95 Typical High $2.14 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.85 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.85 |
Where Illinois sits
The same service costs 4.0 times more in Alaska than in Maryland. 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· 31st of 51
$4.47
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.