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 $7.24 Median $13.80 Typical High $26.92 | Facility | None | $7.24 | $13.80 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $10.47 | Professional | None | $7.24 | $7.24 | $10.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $91.20 | Facility | None | $11.48 | $18.62 | $91.20 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.17 Typical High $6.76 | Professional | None | $3.47 | $6.17 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $20.89 Typical High $37.15 | Facility | None | $10.00 | $20.89 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $10.23 Typical High $15.49 | Professional | None | $4.57 | $10.23 | $15.49 |
Hally Health Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $81.28 | Professional | None | $9.33 | $15.49 | $81.28 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $8.91 Typical High $10.96 | Professional | None | $4.90 | $8.91 | $10.96 |
United Setting Facility Modifier None Typical Low $8.91 Median $10.72 Typical High $22.91 | Facility | None | $8.91 | $10.72 | $22.91 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.62 Typical High $9.55 | Professional | None | $3.72 | $5.62 | $9.55 |
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 $3.63 Median $6.46 Typical High $13.49 | Facility | 52 · Reduced service | $3.63 | $6.46 | $13.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.45 Median $2.57 Typical High $5.37 | Facility | 53 · Discontinued | $1.45 | $2.57 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.63 Typical High $4.47 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.78 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.78 |
Where Illinois sits
The same service costs 3.8 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· 41st of 51
$7.24
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.