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 $8.91 Median $17.78 Typical High $24.55 | Facility | None | $8.91 | $17.78 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $20.42 | Professional | None | $8.91 | $14.45 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $5.50 Typical High $9.12 | Professional | 52 · Reduced service | $4.47 | $5.50 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | None | $17.38 | $17.38 | $25.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $162.18 | Facility | None | $47.86 | $56.23 | $162.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $8.71 Median $15.49 Typical High $23.99 | Professional | None | $8.71 | $15.49 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Hally Health Setting Professional Modifier None Typical Low $8.71 Median $16.22 Typical High $38.90 | Professional | None | $8.71 | $16.22 | $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 $10.96 Median $11.22 Typical High $22.91 | Professional | None | $10.96 | $11.22 | $22.91 |
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 $9.77 Median $17.38 Typical High $30.90 | Professional | None | $9.77 | $17.38 | $30.90 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $14.79 Median $17.38 Typical High $20.42 | Professional | 59 · Distinct service | $14.79 | $17.38 | $20.42 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | XU · Unusual separate service | $14.79 | $14.79 | $18.62 |
Where Illinois sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 24th of 51
$16.22
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.