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 $4.17 Median $7.59 Typical High $14.45 | Facility | None | $4.17 | $7.59 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.98 Typical High $5.50 | Professional | None | $3.80 | $3.98 | $5.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.46 Median $11.22 Typical High $50.12 | Facility | None | $6.46 | $11.22 | $50.12 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.39 Median $3.72 Typical High $3.72 | Professional | None | $3.39 | $3.72 | $3.72 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $11.48 Typical High $20.42 | Facility | None | $5.50 | $11.48 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.75 Typical High $8.91 | Professional | None | $2.51 | $5.75 | $8.91 |
Hally Health Setting Professional Modifier None Typical Low $5.13 Median $7.76 Typical High $89.13 | Professional | None | $5.13 | $7.76 | $89.13 |
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 $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Molina Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $6.03 | Professional | None | $2.69 | $2.69 | $6.03 |
United Setting Facility Modifier None Typical Low $4.90 Median $5.89 Typical High $6.03 | Facility | None | $4.90 | $5.89 | $6.03 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.09 Typical High $5.25 | Professional | None | $2.04 | $3.09 | $5.25 |
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 $2.00 Median $3.55 Typical High $7.41 | Facility | 52 · Reduced service | $2.00 | $3.55 | $7.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.79 Median $1.41 Typical High $2.95 | Facility | 53 · Discontinued | $0.79 | $1.41 | $2.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $2.00 Typical High $2.45 | Professional | 52 · Reduced service | $2.00 | $2.00 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $0.98 | Professional | 53 · Discontinued | $0.79 | $0.79 | $0.98 |
Where Illinois sits
The same service costs 3.8 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· 49th of 51
$3.72
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.