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 $15.49 Typical High $29.51 | Facility | None | $7.94 | $15.49 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.23 | Professional | None | $7.94 | $7.94 | $10.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.59 Median $20.42 Typical High $100.00 | Facility | None | $12.59 | $20.42 | $100.00 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.76 Typical High $7.59 | Professional | None | $3.47 | $6.76 | $7.59 |
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 $5.13 Median $11.48 Typical High $17.38 | Professional | None | $5.13 | $11.48 | $17.38 |
Hally Health Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $75.86 | Professional | None | $10.23 | $16.60 | $75.86 |
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 $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
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 $25.12 | Facility | None | $9.77 | $11.75 | $25.12 |
United Setting Professional Modifier None Typical Low $4.07 Median $7.08 Typical High $10.47 | Professional | None | $4.07 | $7.08 | $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 $1.62 Median $2.82 Typical High $5.89 | Facility | 53 · Discontinued | $1.62 | $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 $1.62 Median $1.62 Typical High $1.95 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.95 |
Where Illinois sits
The same service costs 4.4 times more in Kansas than in Nebraska. 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· 39th of 51
$7.94
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.