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 $15.49 Median $25.70 Typical High $52.48 | Facility | None | $15.49 | $25.70 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $19.50 | Professional | None | $13.80 | $14.45 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.39 Median $37.15 Typical High $181.97 | Facility | None | $22.39 | $37.15 | $181.97 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.49 Typical High $13.49 | Professional | None | $3.47 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $74.13 | Facility | None | $19.95 | $39.81 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $20.89 Typical High $31.62 | Professional | None | $9.12 | $20.89 | $31.62 |
Hally Health Setting Professional Modifier None Typical Low $18.62 Median $30.90 Typical High $151.36 | Professional | None | $18.62 | $30.90 | $151.36 |
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 $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $21.88 | Professional | None | $9.77 | $9.77 | $21.88 |
United Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $21.88 | Facility | None | $17.78 | $21.38 | $21.88 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.22 Typical High $19.05 | Professional | None | $7.41 | $11.22 | $19.05 |
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 $7.24 Median $12.88 Typical High $26.92 | Facility | 52 · Reduced service | $7.24 | $12.88 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $5.13 Typical High $10.72 | Facility | 53 · Discontinued | $2.88 | $5.13 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.55 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.55 |
Where Illinois sits
The same service costs 3.1 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· 49th of 51
$13.49
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.