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 $9.55 Median $18.20 Typical High $35.48 | Facility | None | $9.55 | $18.20 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.55 Typical High $11.75 | Professional | None | $9.33 | $9.55 | $11.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $14.79 Median $25.70 Typical High $120.23 | Facility | None | $14.79 | $25.70 | $120.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $8.91 Typical High $8.91 | Professional | None | $3.47 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $26.92 Typical High $48.98 | Facility | None | $13.18 | $26.92 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $13.80 Typical High $20.89 | Professional | None | $6.17 | $13.80 | $20.89 |
Hally Health Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $74.13 | Professional | None | $12.30 | $20.42 | $74.13 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $14.45 | Professional | None | $6.46 | $6.46 | $14.45 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.80 Typical High $29.51 | Facility | None | $11.75 | $13.80 | $29.51 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.91 Typical High $12.59 | Professional | None | $4.90 | $8.91 | $12.59 |
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 $4.79 Median $8.51 Typical High $17.78 | Facility | 52 · Reduced service | $4.79 | $8.51 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.91 Median $3.39 Typical High $7.08 | Facility | 53 · Discontinued | $1.91 | $3.39 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $5.75 | Professional | 52 · Reduced service | $4.79 | $4.79 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.34 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.34 |
Where Illinois sits
The same service costs 4.7 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· 46th of 51
$8.91
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.