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 $8.13 Median $15.14 Typical High $29.51 | Facility | None | $8.13 | $15.14 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $9.77 | Professional | None | $7.76 | $8.13 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $8.71 Median $13.18 Typical High $102.33 | Facility | None | $8.71 | $13.18 | $102.33 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.63 Median $7.59 Typical High $7.59 | Professional | None | $3.63 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $22.39 Typical High $40.74 | Facility | None | $10.96 | $22.39 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $11.48 Typical High $17.38 | Professional | None | $5.13 | $11.48 | $17.38 |
Hally Health Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $120.23 | Professional | None | $9.77 | $15.85 | $120.23 |
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 $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $12.30 | Professional | None | $5.37 | $6.92 | $12.30 |
United Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $25.12 | Facility | None | $9.77 | $11.75 | $25.12 |
United Setting Professional Modifier None Typical Low $3.31 Median $6.31 Typical High $10.72 | Professional | None | $3.31 | $6.31 | $10.72 |
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 $4.07 Median $7.08 Typical High $14.79 | Facility | 52 · Reduced service | $4.07 | $7.08 | $14.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $2.88 Typical High $6.03 | Facility | 53 · Discontinued | $1.62 | $2.88 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $4.90 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.95 |
Where Illinois sits
The same service costs 4.1 times more in Kansas than in Nebraska. 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· 39th of 51
$8.13
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.