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 $3.39 Median $4.79 Typical High $11.75 | Facility | None | $3.39 | $4.79 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.24 Typical High $5.01 | Professional | None | $3.09 | $3.24 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.63 | Professional | None | $2.40 | $2.40 | $2.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $5.25 Median $9.33 Typical High $40.74 | Facility | None | $5.25 | $9.33 | $40.74 |
BCBS Illinois Setting Professional Modifier None Typical Low $2.69 Median $3.02 Typical High $3.47 | Professional | None | $2.69 | $3.02 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $9.12 Typical High $16.22 | Facility | None | $4.37 | $9.12 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $4.57 Typical High $6.92 | Professional | None | $2.04 | $4.57 | $6.92 |
Hally Health Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $61.66 | Professional | None | $4.17 | $6.92 | $61.66 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $4.90 | Professional | None | $2.19 | $2.19 | $4.90 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.68 Typical High $4.90 | Facility | None | $3.98 | $4.68 | $4.90 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.51 Typical High $4.27 | Professional | None | $1.66 | $2.51 | $4.27 |
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 $1.62 Median $2.88 Typical High $6.03 | Facility | 52 · Reduced service | $1.62 | $2.88 | $6.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.12 Typical High $2.40 | Facility | 53 · Discontinued | $0.65 | $1.12 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.79 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.79 |
Where Illinois sits
The same service costs 3.4 times more in Kansas than in Maryland. 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· 37th of 51
$3.39
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.