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 $4.47 Median $8.71 Typical High $16.60 | Facility | None | $4.47 | $8.71 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.50 | Professional | None | $4.47 | $4.47 | $5.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $56.23 | Facility | None | $7.08 | $11.22 | $56.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $4.27 | Professional | None | $3.80 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.88 Typical High $22.91 | Facility | None | $6.31 | $12.88 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $6.46 Typical High $9.55 | Professional | None | $2.88 | $6.46 | $9.55 |
Hally Health Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $102.33 | Professional | None | $5.75 | $9.55 | $102.33 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $6.92 | Professional | None | $3.02 | $3.02 | $6.92 |
United Setting Facility Modifier None Typical Low $5.50 Median $6.61 Typical High $6.92 | Facility | None | $5.50 | $6.61 | $6.92 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.47 Typical High $5.89 | Professional | None | $2.29 | $3.47 | $5.89 |
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 $2.24 Median $3.98 Typical High $8.32 | Facility | 52 · Reduced service | $2.24 | $3.98 | $8.32 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.89 Median $1.58 Typical High $3.31 | Facility | 53 · Discontinued | $0.89 | $1.58 | $3.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.24 Typical High $2.75 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $1.10 | Professional | 53 · Discontinued | $0.89 | $0.89 | $1.10 |
Where Illinois sits
The same service costs 6.0 times more in Kansas than in Maryland. 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· 36th of 51
$4.68
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.