How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.92 Median $7.94 Typical High $14.13 | Facility | None | $6.92 | $7.94 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.94 Typical High $11.75 | Professional | None | $6.92 | $7.94 | $11.75 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.78 Typical High $1.48 | Professional | RR · Rental | $0.48 | $0.78 | $1.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.89 Typical High $8.91 | Professional | UE · Used equipment | $5.13 | $5.89 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $38.02 Median $81.28 Typical High $162.18 | Facility | None | $38.02 | $81.28 | $162.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $0.55 Median $1.10 Typical High $1.10 | Professional | None | $0.55 | $1.10 | $1.10 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Hally Health Setting Professional Modifier None Typical Low $1.15 Median $1.45 Typical High $13.18 | Professional | None | $1.15 | $1.45 | $13.18 |
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 $1.66 Median $1.66 Typical High $1.86 | Professional | None | $1.66 | $1.66 | $1.86 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $16.98 | Professional | None | $5.50 | $6.92 | $16.98 |
United Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.72 Typical High $1.74 | Professional | RR · Rental | $0.56 | $0.72 | $1.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.07 Median $5.25 Typical High $12.59 | Professional | UE · Used equipment | $4.07 | $5.25 | $12.59 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.44 Median $0.78 Typical High $1.00 | Professional | MS · Maintenance fee | $0.44 | $0.78 | $1.00 |
Where Illinois sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 51st of 51
$1.35
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.