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 $13.18 Median $22.91 Typical High $46.77 | Facility | None | $13.18 | $22.91 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $19.05 | Professional | None | $12.02 | $12.59 | $19.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.50 Median $33.11 Typical High $162.18 | Facility | None | $19.50 | $33.11 | $162.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $12.02 Typical High $12.02 | Professional | None | $3.47 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $36.31 Typical High $64.57 | Facility | None | $17.38 | $36.31 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $27.54 | Professional | None | $7.94 | $18.20 | $27.54 |
Hally Health Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $97.72 | Professional | None | $16.22 | $26.92 | $97.72 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $19.50 | Professional | None | $8.51 | $8.51 | $19.50 |
United Setting Facility Modifier None Typical Low $15.49 Median $18.62 Typical High $19.50 | Facility | None | $15.49 | $18.62 | $19.50 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $16.60 | Professional | None | $6.46 | $9.77 | $16.60 |
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 $6.31 Median $11.22 Typical High $23.44 | Facility | 52 · Reduced service | $6.31 | $11.22 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $4.47 Typical High $9.33 | Facility | 53 · Discontinued | $2.51 | $4.47 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $7.76 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.09 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.09 |
Where Illinois sits
The same service costs 6.8 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· 48th of 51
$12.02
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.