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 $10.23 Median $19.50 Typical High $38.02 | Facility | None | $10.23 | $19.50 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $14.13 | Professional | None | $10.00 | $10.23 | $14.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $128.82 | Facility | None | $15.14 | $22.39 | $128.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $9.55 | Professional | None | $3.47 | $8.71 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $29.51 Typical High $51.29 | Facility | None | $14.13 | $29.51 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $14.79 Typical High $22.39 | Professional | None | $6.46 | $14.79 | $22.39 |
Hally Health Setting Professional Modifier None Typical Low $13.18 Median $20.42 Typical High $138.04 | Professional | None | $13.18 | $20.42 | $138.04 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $15.49 | Professional | None | $6.92 | $8.71 | $15.49 |
United Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $32.36 | Facility | None | $12.59 | $15.14 | $32.36 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $13.49 | Professional | None | $5.25 | $8.32 | $13.49 |
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 $5.13 Median $9.12 Typical High $19.05 | Facility | 52 · Reduced service | $5.13 | $9.12 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $3.63 Typical High $7.59 | Facility | 53 · Discontinued | $2.04 | $3.63 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.13 Typical High $6.31 | Professional | 52 · Reduced service | $5.13 | $5.13 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.51 |
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· 41st 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.