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 $3.89 Median $5.89 Typical High $7.41 | Facility | None | $3.89 | $5.89 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $4.17 | Professional | None | $3.47 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.74 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.71 | $0.81 | $0.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $20.42 Median $41.69 Typical High $95.50 | Facility | None | $20.42 | $41.69 | $95.50 |
BCBS Illinois Setting Professional Modifier None Typical Low $4.79 Median $7.41 Typical High $7.41 | Professional | None | $4.79 | $7.41 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $51.29 | Professional | None | $8.51 | $8.51 | $51.29 |
Hally Health Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $38.90 | Professional | None | $3.89 | $5.50 | $38.90 |
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 $4.57 Median $4.79 Typical High $5.62 | Professional | None | $4.57 | $4.79 | $5.62 |
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 Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $8.71 | Professional | None | $4.07 | $5.25 | $8.71 |
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 $4.07 Median $4.07 Typical High $4.07 | Professional | 59 · Distinct service | $4.07 | $4.07 | $4.07 |
Where Illinois sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 28th of 51
$5.25
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.