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 $154.88 Median $154.88 Typical High $229.09 | Facility | None | $154.88 | $154.88 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $181.97 | Professional | None | $134.90 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $67.61 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.90 Typical High $36.31 | Professional | 53 · Discontinued | $26.92 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $23.44 Typical High $26.92 | Professional | 55 · Aftercare only | $19.95 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $15.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $13.49 | $15.49 | $18.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $3,019.95 | Facility | None | $309.03 | $549.54 | $3,019.95 |
BCBS Illinois Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $275.42 | Professional | None | $138.04 | $190.55 | $275.42 |
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 |
Molina Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $295.12 | Facility | None | $229.09 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $112.20 | Professional | None | $85.11 | $107.15 | $112.20 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Illinois sits
The same service costs 2.6 times more in Minnesota than in Utah. 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· 16th of 51
$155
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.