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 $28.18 Median $47.86 Typical High $97.72 | Facility | None | $28.18 | $47.86 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $38.90 | Professional | None | $25.12 | $26.30 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $38.90 Median $56.23 Typical High $331.13 | Facility | None | $38.90 | $56.23 | $331.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $25.12 Typical High $25.12 | Professional | None | $3.47 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $74.13 Typical High $134.90 | Facility | None | $36.31 | $74.13 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $38.02 Typical High $57.54 | Professional | None | $16.98 | $38.02 | $57.54 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $234.42 | Professional | None | $33.88 | $51.29 | $234.42 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $40.74 | Professional | None | $16.22 | $16.22 | $40.74 |
United Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $83.18 | Facility | None | $32.36 | $38.90 | $83.18 |
United Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $34.67 | Professional | None | $13.49 | $20.42 | $34.67 |
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 $13.18 Median $23.44 Typical High $48.98 | Facility | 52 · Reduced service | $13.18 | $23.44 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $9.33 Typical High $19.50 | Facility | 53 · Discontinued | $5.25 | $9.33 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.46 |
Where Illinois sits
The same service costs 4.1 times more in Kansas than in Alabama. 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· 47th of 51
$25.12
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.