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 $16.22 Median $30.90 Typical High $58.88 | Facility | None | $16.22 | $30.90 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | None | $16.22 | $16.22 | $19.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $25.12 Median $42.66 Typical High $204.17 | Facility | None | $25.12 | $42.66 | $204.17 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.49 Typical High $15.14 | Professional | None | $3.47 | $13.49 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $44.67 Typical High $81.28 | Facility | None | $21.88 | $44.67 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $22.91 Typical High $35.48 | Professional | None | $10.23 | $22.91 | $35.48 |
Hally Health Setting Professional Modifier None Typical Low $19.50 Median $31.62 Typical High $107.15 | Professional | None | $19.50 | $31.62 | $107.15 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $24.55 | Professional | None | $10.72 | $13.80 | $24.55 |
United Setting Facility Modifier None Typical Low $19.50 Median $23.44 Typical High $24.55 | Facility | None | $19.50 | $23.44 | $24.55 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $20.89 | Professional | None | $8.13 | $12.59 | $20.89 |
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 $7.94 Median $14.13 Typical High $29.51 | Facility | 52 · Reduced service | $7.94 | $14.13 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $5.62 Typical High $11.75 | Facility | 53 · Discontinued | $3.24 | $5.62 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $9.77 | Professional | 52 · Reduced service | $7.94 | $7.94 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.89 |
Where Illinois sits
The same service costs 4.4 times more in Kansas than in Alabama. 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· 39th of 51
$16.22
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.