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 $9.77 Median $18.62 Typical High $36.31 | Facility | None | $9.77 | $18.62 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $11.75 | Professional | None | $9.77 | $9.77 | $11.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $15.14 Median $25.70 Typical High $123.03 | Facility | None | $15.14 | $25.70 | $123.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $9.12 | Professional | None | $8.13 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $27.54 Typical High $48.98 | Facility | None | $13.18 | $27.54 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $14.13 Typical High $21.38 | Professional | None | $6.17 | $14.13 | $21.38 |
Hally Health Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $120.23 | Professional | None | $12.59 | $20.89 | $120.23 |
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 $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $8.32 Typical High $14.79 | Professional | None | $6.46 | $8.32 | $14.79 |
United Setting Facility Modifier None Typical Low $11.75 Median $14.13 Typical High $14.79 | Facility | None | $11.75 | $14.13 | $14.79 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $12.88 | Professional | None | $5.01 | $7.59 | $12.88 |
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 $4.90 Median $8.71 Typical High $17.78 | Facility | 52 · Reduced service | $4.90 | $8.71 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $3.47 Typical High $7.24 | Facility | 53 · Discontinued | $1.95 | $3.47 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $4.90 Typical High $5.89 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.34 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.34 |
Where Illinois sits
The same service costs 4.1 times more in Kansas than in Oklahoma. 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· 35th 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.