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 $3.09 Median $5.25 Typical High $10.72 | Facility | None | $3.09 | $5.25 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $5.13 | Professional | None | $2.95 | $3.09 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.40 Typical High $97.72 | Professional | None | $2.14 | $2.40 | $97.72 |
BCBS Illinois Setting Facility Modifier None Typical Low $4.79 Median $9.33 Typical High $48.98 | Facility | None | $4.79 | $9.33 | $48.98 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.55 Typical High $3.63 | Professional | None | $3.47 | $3.55 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $8.51 Typical High $15.14 | Facility | None | $4.07 | $8.51 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $4.17 Typical High $6.61 | Professional | None | $1.86 | $4.17 | $6.61 |
Hally Health Setting Professional Modifier None Typical Low $3.80 Median $6.31 Typical High $34.67 | Professional | None | $3.80 | $6.31 | $34.67 |
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 $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Molina Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $4.47 | Professional | None | $1.95 | $1.95 | $4.47 |
United Setting Facility Modifier None Typical Low $3.55 Median $4.27 Typical High $4.47 | Facility | None | $3.55 | $4.27 | $4.47 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.55 Typical High $4.68 | Professional | None | $2.14 | $3.55 | $4.68 |
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 $1.48 Median $2.57 Typical High $5.37 | Facility | 52 · Reduced service | $1.48 | $2.57 | $5.37 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.59 Median $1.05 Typical High $2.19 | Facility | 53 · Discontinued | $0.59 | $1.05 | $2.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.48 Typical High $1.78 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.72 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.72 |
Where Illinois sits
The same service costs 3.5 times more in Kansas than in Tennessee. 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· 33rd of 51
$3.55
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.