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 $8.32 Median $15.85 Typical High $30.20 | Facility | None | $8.32 | $15.85 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.23 | Professional | None | $8.32 | $8.32 | $10.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.02 Median $17.38 Typical High $93.33 | Facility | None | $12.02 | $17.38 | $93.33 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $7.76 | Professional | None | $3.47 | $6.92 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $20.42 Typical High $42.66 | Facility | None | $11.48 | $20.42 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $11.48 Typical High $16.22 | Professional | None | $5.01 | $11.48 | $16.22 |
Hally Health Setting Professional Modifier None Typical Low $10.47 Median $15.14 Typical High $53.70 | Professional | None | $10.47 | $15.14 | $53.70 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Molina Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $12.59 | Professional | None | $5.50 | $5.50 | $12.59 |
United Setting Facility Modifier None Typical Low $10.00 Median $12.02 Typical High $12.59 | Facility | None | $10.00 | $12.02 | $12.59 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $10.72 | Professional | None | $4.27 | $6.03 | $10.72 |
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 $4.17 Median $7.24 Typical High $15.14 | Facility | 52 · Reduced service | $4.17 | $7.24 | $15.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.66 Median $2.95 Typical High $6.17 | Facility | 53 · Discontinued | $1.66 | $2.95 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.17 Typical High $5.01 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.04 |
Where Illinois sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 38th 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.