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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $8.32 Typical High $13.18 | Professional | None | $5.62 | $8.32 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $93.33 | Facility | None | $13.49 | $19.95 | $93.33 |
BCBS Illinois Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $7.08 | Professional | None | $5.01 | $5.01 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $14.45 Typical High $44.67 | Facility | None | $4.90 | $14.45 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $14.45 | Professional | None | $2.63 | $2.63 | $14.45 |
Hally Health Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $28.18 | Professional | None | $11.22 | $16.22 | $28.18 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Molina Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $14.13 | Professional | None | $2.75 | $2.75 | $14.13 |
United Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $14.13 | Facility | None | $11.22 | $13.49 | $14.13 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $9.12 | Professional | None | $2.09 | $3.02 | $9.12 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $4.79 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $1.91 | Professional | 53 · Discontinued | $1.74 | $1.74 | $1.91 |
Where Illinois sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 22nd of 51
$6.61
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.