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 $3.63 Median $6.31 Typical High $13.18 | Facility | None | $3.63 | $6.31 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.80 Typical High $6.76 | Professional | None | $3.55 | $3.80 | $6.76 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $5.89 | Professional | None | $2.19 | $2.19 | $5.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $5.75 Median $9.33 Typical High $45.71 | Facility | None | $5.75 | $9.33 | $45.71 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $3.47 | Professional | None | $3.02 | $3.39 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $10.23 Typical High $17.78 | Facility | None | $4.79 | $10.23 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $5.37 Typical High $7.76 | Professional | None | $2.19 | $5.37 | $7.76 |
Hally Health Setting Professional Modifier None Typical Low $4.57 Median $7.76 Typical High $60.26 | Professional | None | $4.57 | $7.76 | $60.26 |
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 $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $2.40 Typical High $5.50 | Professional | None | $2.19 | $2.40 | $5.50 |
United Setting Facility Modifier None Typical Low $4.37 Median $5.25 Typical High $11.22 | Facility | None | $4.37 | $5.25 | $11.22 |
United Setting Professional Modifier None Typical Low $1.86 Median $3.16 Typical High $4.79 | Professional | None | $1.86 | $3.16 | $4.79 |
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 $1.82 Median $3.16 Typical High $6.61 | Facility | 52 · Reduced service | $1.82 | $3.16 | $6.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.72 Median $1.29 Typical High $2.63 | Facility | 53 · Discontinued | $0.72 | $1.29 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $1.82 Typical High $2.19 | Professional | 52 · Reduced service | $1.82 | $1.82 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $0.87 | Professional | 53 · Discontinued | $0.72 | $0.72 | $0.87 |
Where Illinois sits
The same service costs 4.2 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· 49th of 51
$3.47
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.