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 $7.94 Median $14.45 Typical High $29.51 | Facility | None | $7.94 | $14.45 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $11.48 | Professional | None | $7.94 | $7.94 | $11.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $11.75 Median $17.38 Typical High $158.49 | Facility | None | $11.75 | $17.38 | $158.49 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $9.77 | Professional | None | $3.47 | $5.89 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $21.38 Typical High $40.74 | Facility | None | $10.96 | $21.38 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $11.48 Typical High $15.49 | Professional | None | $6.31 | $11.48 | $15.49 |
Hally Health Setting Professional Modifier None Typical Low $9.77 Median $15.49 Typical High $72.44 | Professional | None | $9.77 | $15.49 | $72.44 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $12.30 | Professional | None | $6.92 | $6.92 | $12.30 |
United Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $12.30 | Facility | None | $9.77 | $11.75 | $12.30 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.17 Typical High $10.47 | Professional | None | $4.07 | $6.17 | $10.47 |
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 $3.98 Median $7.08 Typical High $14.79 | Facility | 52 · Reduced service | $3.98 | $7.08 | $14.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $2.82 Typical High $5.89 | Facility | 53 · Discontinued | $1.58 | $2.82 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $4.90 | Professional | 52 · Reduced service | $3.98 | $3.98 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.95 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.95 |
Where Illinois sits
The same service costs 4.1 times more in Kansas than in Kentucky. 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· 28th of 51
$9.77
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.