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 $12.88 | Facility | None | $3.63 | $6.31 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.80 Typical High $6.61 | Professional | None | $3.47 | $3.80 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $4.27 Median $5.13 Typical High $29.51 | Facility | None | $4.27 | $5.13 | $29.51 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.31 Median $3.47 Typical High $4.27 | Professional | None | $3.31 | $3.47 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $9.77 Typical High $17.78 | Facility | None | $4.79 | $9.77 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $5.01 Typical High $7.76 | Professional | None | $2.19 | $5.01 | $7.76 |
Hally Health Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $54.95 | Professional | None | $4.47 | $7.41 | $54.95 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Molina Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $5.37 | Professional | None | $2.34 | $3.02 | $5.37 |
United Setting Facility Modifier None Typical Low $4.27 Median $5.13 Typical High $5.37 | Facility | None | $4.27 | $5.13 | $5.37 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $5.62 | Professional | None | $2.57 | $4.27 | $5.62 |
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 $1.74 Median $3.09 Typical High $6.46 | Facility | 52 · Reduced service | $1.74 | $3.09 | $6.46 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.71 Median $1.23 Typical High $2.57 | Facility | 53 · Discontinued | $0.71 | $1.23 | $2.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $2.14 | Professional | 52 · Reduced service | $1.74 | $1.74 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.85 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.85 |
Where Illinois sits
The same service costs 3.2 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· 36th 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.