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 $6.31 Median $12.02 Typical High $23.44 | Facility | None | $6.31 | $12.02 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $9.12 | Professional | None | $6.31 | $6.31 | $9.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $15.14 Median $43.65 Typical High $79.43 | Facility | None | $15.14 | $43.65 | $79.43 |
BCBS Illinois Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $6.03 | Professional | None | $5.37 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $17.78 Typical High $32.36 | Facility | None | $8.91 | $17.78 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $9.12 Typical High $13.80 | Professional | None | $4.07 | $9.12 | $13.80 |
Hally Health Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $134.90 | Professional | None | $8.13 | $12.30 | $134.90 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $5.37 Typical High $9.77 | Professional | None | $4.27 | $5.37 | $9.77 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.90 Typical High $8.32 | Professional | None | $3.24 | $4.90 | $8.32 |
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 $3.16 Median $5.62 Typical High $11.75 | Facility | 52 · Reduced service | $3.16 | $5.62 | $11.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $2.24 Typical High $4.68 | Facility | 53 · Discontinued | $1.26 | $2.24 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.89 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.55 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.55 |
Where Illinois sits
The same service costs 5.2 times more in Kansas than in New Jersey. 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
$6.61
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.