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 $7.59 Median $14.79 Typical High $28.18 | Facility | None | $7.59 | $14.79 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $11.22 | Professional | None | $7.59 | $7.59 | $11.22 |
BCBS Illinois Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $87.10 | Facility | None | $11.22 | $16.22 | $87.10 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.46 Typical High $7.24 | Professional | None | $3.47 | $6.46 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $19.05 Typical High $39.81 | Facility | None | $10.72 | $19.05 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $10.72 Typical High $14.45 | Professional | None | $4.47 | $10.72 | $14.45 |
Hally Health Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $91.20 | Professional | None | $9.77 | $14.13 | $91.20 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $11.75 | Professional | None | $5.13 | $5.13 | $11.75 |
United Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $23.99 | Facility | None | $9.33 | $11.22 | $23.99 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.75 Typical High $11.22 | Professional | None | $3.89 | $5.75 | $11.22 |
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 $3.80 Median $6.76 Typical High $14.13 | Facility | 52 · Reduced service | $3.80 | $6.76 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $2.69 Typical High $5.62 | Facility | 53 · Discontinued | $1.51 | $2.69 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.80 Typical High $4.68 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.86 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.86 |
Where Illinois sits
The same service costs 5.9 times more in Kansas than in Nebraska. 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· 37th of 51
$7.59
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.