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 $4.57 Median $8.71 Typical High $16.98 | Facility | None | $4.57 | $8.71 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $7.24 | Professional | None | $4.47 | $4.57 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
BCBS Illinois Setting Facility Modifier None Typical Low $7.41 Median $12.88 Typical High $57.54 | Facility | None | $7.41 | $12.88 | $57.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $4.27 Typical High $4.27 | Professional | None | $3.47 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.88 Typical High $22.91 | Facility | None | $6.31 | $12.88 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $6.46 Typical High $10.23 | Professional | None | $2.88 | $6.46 | $10.23 |
Hally Health Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $69.18 | Professional | None | $5.89 | $9.77 | $69.18 |
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 $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Molina Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $6.92 | Professional | None | $3.09 | $3.09 | $6.92 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.61 Typical High $12.02 | Facility | None | $5.62 | $6.61 | $12.02 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.55 Typical High $6.03 | Professional | None | $2.34 | $3.55 | $6.03 |
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 $2.29 Median $4.07 Typical High $8.51 | Facility | 52 · Reduced service | $2.29 | $4.07 | $8.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.91 Median $1.62 Typical High $3.39 | Facility | 53 · Discontinued | $0.91 | $1.62 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $2.29 Typical High $2.82 | Professional | 52 · Reduced service | $2.29 | $2.29 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.91 Typical High $1.12 | Professional | 53 · Discontinued | $0.91 | $0.91 | $1.12 |
Where Illinois sits
The same service costs 4.8 times more in Kansas than in Kentucky. 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· 48th of 51
$4.27
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.