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 $15.49 Median $21.88 Typical High $53.70 | Facility | None | $15.49 | $21.88 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $17.78 | Professional | None | $14.13 | $14.79 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.91 Median $38.90 Typical High $186.21 | Facility | None | $22.91 | $38.90 | $186.21 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.80 Typical High $13.80 | Professional | None | $3.47 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $41.69 Typical High $74.13 | Facility | None | $20.42 | $41.69 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $21.38 Typical High $32.36 | Professional | None | $9.33 | $21.38 | $32.36 |
Hally Health Setting Professional Modifier None Typical Low $19.05 Median $31.62 Typical High $128.82 | Professional | None | $19.05 | $31.62 | $128.82 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $22.39 | Professional | None | $10.00 | $10.00 | $22.39 |
United Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $22.39 | Facility | None | $17.78 | $21.38 | $22.39 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $19.50 | Professional | None | $7.59 | $11.48 | $19.50 |
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 $7.41 Median $13.18 Typical High $26.92 | Facility | 52 · Reduced service | $7.41 | $13.18 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $5.25 Typical High $10.96 | Facility | 53 · Discontinued | $2.95 | $5.25 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.41 Typical High $8.91 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.63 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.63 |
Where Illinois sits
The same service costs 6.2 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· 45th of 51
$13.80
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.