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 $19.05 Median $33.88 Typical High $69.18 | Facility | None | $19.05 | $33.88 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.05 Typical High $27.54 | Professional | None | $15.49 | $19.05 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $14.45 | Professional | None | $12.30 | $14.13 | $14.45 |
BCBS Illinois Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $213.80 | Facility | None | $27.54 | $39.81 | $213.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $17.78 Typical High $17.78 | Professional | None | $3.47 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $95.50 | Facility | None | $25.70 | $46.77 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $26.30 Typical High $35.48 | Professional | None | $10.96 | $26.30 | $35.48 |
Hally Health Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $125.89 | Professional | None | $23.99 | $34.67 | $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 $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $28.84 | Professional | None | $16.22 | $16.22 | $28.84 |
United Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $28.84 | Facility | None | $22.91 | $27.54 | $28.84 |
United Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $24.55 | Professional | None | $9.55 | $14.13 | $24.55 |
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 $9.33 Median $16.60 Typical High $34.67 | Facility | 52 · Reduced service | $9.33 | $16.60 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $6.61 Typical High $13.80 | Facility | 53 · Discontinued | $3.80 | $6.61 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | 52 · Reduced service | $9.33 | $9.33 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.57 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.57 |
Where Illinois sits
The same service costs 4.9 times more in Kansas 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· 42nd of 51
$17.78
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.