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 $10.47 Median $15.49 Typical High $38.02 | Facility | None | $10.47 | $15.49 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $14.13 | Professional | None | $10.23 | $10.47 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.22 Median $27.54 Typical High $131.83 | Facility | None | $16.22 | $27.54 | $131.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $9.77 Typical High $9.77 | Professional | None | $3.47 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $29.51 Typical High $53.70 | Facility | None | $14.45 | $29.51 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $14.79 Typical High $22.91 | Professional | None | $6.61 | $14.79 | $22.91 |
Hally Health Setting Professional Modifier None Typical Low $13.18 Median $22.39 Typical High $109.65 | Professional | None | $13.18 | $22.39 | $109.65 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $15.85 | Professional | None | $8.91 | $8.91 | $15.85 |
United Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $15.85 | Facility | None | $12.59 | $15.14 | $15.85 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $13.80 | Professional | None | $5.37 | $8.13 | $13.80 |
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 $5.25 Median $9.12 Typical High $19.05 | Facility | 52 · Reduced service | $5.25 | $9.12 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $3.72 Typical High $7.76 | Facility | 53 · Discontinued | $2.09 | $3.72 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $6.31 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.51 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.51 |
Where Illinois sits
The same service costs 4.7 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· 47th of 51
$9.77
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.