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 $12.59 Median $20.89 Typical High $43.65 | Facility | None | $12.59 | $20.89 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $17.78 | Professional | None | $11.48 | $12.02 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.50 Median $42.66 Typical High $151.36 | Facility | None | $19.50 | $42.66 | $151.36 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $11.22 Typical High $11.22 | Professional | None | $3.47 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $60.26 | Facility | None | $16.22 | $33.11 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $16.98 Typical High $26.30 | Professional | None | $7.41 | $16.98 | $26.30 |
Hally Health Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $125.89 | Professional | None | $15.14 | $25.70 | $125.89 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $14.45 Typical High $18.20 | Professional | None | $7.94 | $14.45 | $18.20 |
United Setting Facility Modifier None Typical Low $14.45 Median $17.38 Typical High $18.20 | Facility | None | $14.45 | $17.38 | $18.20 |
United Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $15.85 | Professional | None | $6.17 | $9.33 | $15.85 |
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 $6.03 Median $10.47 Typical High $21.88 | Facility | 52 · Reduced service | $6.03 | $10.47 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $4.27 Typical High $8.91 | Facility | 53 · Discontinued | $2.40 | $4.27 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $7.24 | Professional | 52 · Reduced service | $6.03 | $6.03 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.88 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.88 |
Where Illinois sits
The same service costs 4.2 times more in Kansas 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· 50th of 51
$11.22
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.