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 $11.48 Median $20.89 Typical High $39.81 | Facility | None | $11.48 | $20.89 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $13.18 | Professional | None | $10.23 | $10.96 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.98 Median $27.54 Typical High $138.04 | Facility | None | $16.98 | $27.54 | $138.04 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.23 Typical High $10.23 | Professional | None | $3.47 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $30.20 Typical High $54.95 | Facility | None | $14.79 | $30.20 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $15.49 Typical High $23.44 | Professional | None | $6.76 | $15.49 | $23.44 |
Hally Health Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $104.71 | Professional | None | $13.80 | $21.38 | $104.71 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $16.60 | Professional | None | $7.24 | $7.24 | $16.60 |
United Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $16.60 | Facility | None | $13.18 | $15.85 | $16.60 |
United Setting Professional Modifier None Typical Low $5.62 Median $10.23 Typical High $18.62 | Professional | None | $5.62 | $10.23 | $18.62 |
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 $5.50 Median $9.55 Typical High $19.95 | Facility | 52 · Reduced service | $5.50 | $9.55 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $3.80 Typical High $7.94 | Facility | 53 · Discontinued | $2.19 | $3.80 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.63 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.63 |
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
$10.23
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.