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 $3.24 Median $5.37 Typical High $11.48 | Facility | None | $3.24 | $5.37 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.24 Typical High $5.89 | Professional | None | $3.09 | $3.24 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | None | $5.01 | $5.13 | $5.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $5.13 Median $12.30 Typical High $46.77 | Facility | None | $5.13 | $12.30 | $46.77 |
BCBS Illinois Setting Professional Modifier None Typical Low $2.95 Median $3.47 Typical High $3.80 | Professional | None | $2.95 | $3.47 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $8.51 Typical High $16.22 | Facility | None | $4.37 | $8.51 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $4.57 Typical High $6.03 | Professional | None | $2.04 | $4.57 | $6.03 |
Hally Health Setting Professional Modifier None Typical Low $3.98 Median $6.61 Typical High $30.90 | Professional | None | $3.98 | $6.61 | $30.90 |
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 $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Molina Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $4.79 | Professional | None | $2.09 | $2.09 | $4.79 |
United Setting Facility Modifier None Typical Low $3.80 Median $4.57 Typical High $7.59 | Facility | None | $3.80 | $4.57 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.40 Typical High $4.07 | Professional | None | $1.58 | $2.40 | $4.07 |
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 $1.55 Median $2.75 Typical High $5.75 | Facility | 52 · Reduced service | $1.55 | $2.75 | $5.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.62 Median $1.10 Typical High $2.29 | Facility | 53 · Discontinued | $0.62 | $1.10 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $1.55 Typical High $1.91 | Professional | 52 · Reduced service | $1.55 | $1.55 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.76 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.76 |
Where Illinois sits
The same service costs 11.7 times more in Minnesota 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· 29th of 51
$3.80
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.