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 $1.86 Median $3.16 Typical High $6.46 | Facility | None | $1.86 | $3.16 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.86 Typical High $2.82 | Professional | None | $1.78 | $1.86 | $2.82 |
Ambetter Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $2.95 Median $5.62 Typical High $29.51 | Facility | None | $2.95 | $5.62 | $29.51 |
BCBS Illinois Setting Professional Modifier None Typical Low $1.66 Median $2.19 Typical High $3.47 | Professional | None | $1.66 | $2.19 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $5.13 Typical High $9.55 | Facility | None | $2.51 | $5.13 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $2.57 Typical High $3.72 | Professional | None | $1.20 | $2.57 | $3.72 |
Hally Health Setting Professional Modifier None Typical Low $2.29 Median $3.80 Typical High $23.99 | Professional | None | $2.29 | $3.80 | $23.99 |
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 $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Molina Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $2.69 | Professional | None | $1.20 | $1.20 | $2.69 |
United Setting Facility Modifier None Typical Low $2.19 Median $2.57 Typical High $5.62 | Facility | None | $2.19 | $2.57 | $5.62 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $2.82 | Professional | None | $1.29 | $2.19 | $2.82 |
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 $0.89 Median $1.58 Typical High $3.31 | Facility | 52 · Reduced service | $0.89 | $1.58 | $3.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.36 Median $0.63 Typical High $1.32 | Facility | 53 · Discontinued | $0.36 | $0.63 | $1.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.89 Median $0.89 Typical High $1.10 | Professional | 52 · Reduced service | $0.89 | $0.89 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.36 Typical High $0.43 | Professional | 53 · Discontinued | $0.36 | $0.36 | $0.43 |
Where Illinois sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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· 27th of 51
$2.40
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.