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 $4.79 Median $9.12 Typical High $17.78 | Facility | None | $4.79 | $9.12 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $5.25 | Professional | None | $4.37 | $4.79 | $5.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $5.25 Median $7.94 Typical High $54.95 | Facility | None | $5.25 | $7.94 | $54.95 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $4.57 Typical High $4.57 | Professional | None | $3.47 | $4.57 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $11.75 Typical High $24.55 | Facility | None | $6.61 | $11.75 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $6.61 Typical High $8.91 | Professional | None | $2.82 | $6.61 | $8.91 |
Hally Health Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $46.77 | Professional | None | $5.89 | $8.91 | $46.77 |
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 $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Molina Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $7.41 | Professional | None | $4.17 | $4.17 | $7.41 |
United Setting Facility Modifier None Typical Low $5.89 Median $7.08 Typical High $15.14 | Facility | None | $5.89 | $7.08 | $15.14 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.55 Typical High $6.17 | Professional | None | $2.29 | $3.55 | $6.17 |
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 $2.40 Median $4.27 Typical High $8.91 | Facility | 52 · Reduced service | $2.40 | $4.27 | $8.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.95 Median $1.70 Typical High $3.55 | Facility | 53 · Discontinued | $0.95 | $1.70 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $2.40 Typical High $2.63 | Professional | 52 · Reduced service | $2.40 | $2.40 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.07 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.07 |
Where Illinois sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 40th of 51
$4.57
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.