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 $14.79 Median $23.99 Typical High $51.29 | Facility | None | $14.79 | $23.99 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $20.42 | Professional | None | $13.80 | $14.45 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.91 Median $44.67 Typical High $158.49 | Facility | None | $22.91 | $44.67 | $158.49 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.18 Typical High $13.18 | Professional | None | $3.47 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $40.74 Typical High $74.13 | Facility | None | $19.05 | $40.74 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $20.42 Typical High $32.36 | Professional | None | $8.71 | $20.42 | $32.36 |
Hally Health Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $151.36 | Professional | None | $18.20 | $26.92 | $151.36 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $21.38 | Professional | None | $12.02 | $12.02 | $21.38 |
United Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $21.38 | Facility | None | $16.98 | $20.42 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $18.62 | Professional | None | $7.24 | $10.96 | $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 $7.08 Median $13.49 Typical High $25.70 | Facility | 52 · Reduced service | $7.08 | $13.49 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $5.37 Typical High $10.47 | Facility | 53 · Discontinued | $2.82 | $5.37 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.09 |
Where Illinois sits
The same service costs 9.5 times more in Minnesota than in Kentucky. 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· 46th of 51
$13.18
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.