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 $147.91 Median $169.82 Typical High $213.80 | Facility | None | $147.91 | $169.82 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $208.93 | Professional | None | $131.83 | $169.82 | $208.93 |
Aetna Setting Professional Modifier RR · Rental Typical Low $13.18 Median $21.38 Typical High $26.92 | Professional | RR · Rental | $13.18 | $21.38 | $26.92 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $128.82 Typical High $158.49 | Professional | UE · Used equipment | $81.28 | $128.82 | $158.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $4,466.84 | Facility | None | $1,047.13 | $2,238.72 | $4,466.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | None | $17.38 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $177.83 Typical High $177.83 | Professional | None | $19.95 | $177.83 | $177.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | RR · Rental | $15.14 | $17.78 | $17.78 |
Hally Health Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $354.81 | Professional | None | $34.67 | $53.70 | $354.81 |
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 |
Molina Setting Professional Modifier None Typical Low $18.62 Median $33.11 Typical High $147.91 | Professional | None | $18.62 | $33.11 | $147.91 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $269.15 | Professional | None | $102.33 | $138.04 | $269.15 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $19.05 Typical High $30.20 | Professional | RR · Rental | $13.18 | $19.05 | $30.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $102.33 Typical High $190.55 | Professional | UE · Used equipment | $75.86 | $102.33 | $190.55 |
3 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 Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | 52 · Reduced service | $69.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $25.70 Typical High $31.62 | Professional | 55 · Aftercare only | $20.89 | $25.70 | $31.62 |
Where Illinois sits
The same service costs 22.4 times more in Kansas 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
$19.95
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.