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 $10.23 Median $19.50 Typical High $38.02 | Facility | None | $10.23 | $19.50 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.30 | Professional | None | $10.23 | $10.23 | $12.30 |
BCBS Illinois Setting Facility Modifier None Typical Low $14.79 Median $23.99 Typical High $123.03 | Facility | None | $14.79 | $23.99 | $123.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $8.51 Median $9.55 Typical High $9.55 | Professional | None | $8.51 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $26.92 Typical High $51.29 | Facility | None | $14.13 | $26.92 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $14.45 Typical High $21.88 | Professional | None | $6.46 | $14.45 | $21.88 |
Hally Health Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $70.79 | Professional | None | $13.18 | $21.88 | $70.79 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $15.49 | Professional | None | $6.92 | $8.71 | $15.49 |
United Setting Facility Modifier None Typical Low $12.30 Median $14.79 Typical High $15.49 | Facility | None | $12.30 | $14.79 | $15.49 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $13.49 | Professional | None | $5.25 | $7.94 | $13.49 |
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 $5.13 Median $8.91 Typical High $18.62 | Facility | 52 · Reduced service | $5.13 | $8.91 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $3.63 Typical High $7.59 | Facility | 53 · Discontinued | $2.04 | $3.63 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.13 Typical High $6.17 | Professional | 52 · Reduced service | $5.13 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.51 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.51 |
Where Illinois sits
The same service costs 6.5 times more in Kansas than in Alabama. 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· 32nd of 51
$10.72
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.