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 $10.96 Median $14.13 Typical High $26.92 | Facility | None | $10.96 | $14.13 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $20.42 | Professional | None | $12.30 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.03 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.45 | $2.82 | $2.82 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $13.49 | Professional | None | $9.55 | $11.22 | $13.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $213.80 | Facility | None | $47.86 | $57.54 | $213.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $19.95 | Professional | None | $13.18 | $14.45 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $57.54 Typical High $114.82 | Facility | None | $48.98 | $57.54 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $21.88 | Professional | None | $13.80 | $18.62 | $21.88 |
Hally Health Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $50.12 | Professional | None | $10.96 | $15.85 | $50.12 |
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 $13.49 Median $13.80 Typical High $15.49 | Professional | None | $13.49 | $13.80 | $15.49 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
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 $14.45 Median $19.50 Typical High $30.90 | Professional | None | $14.45 | $19.50 | $30.90 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $9.55 Median $10.23 Typical High $11.22 | Professional | 59 · Distinct service | $9.55 | $10.23 | $11.22 |
Where Illinois sits
The same service costs 3.0 times more in Minnesota 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· 36th of 51
$15.49
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.