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 $14.13 Median $27.54 Typical High $56.23 | Facility | None | $14.13 | $27.54 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $14.13 Typical High $18.62 | Professional | None | $5.01 | $14.13 | $18.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.39 Median $31.62 Typical High $281.84 | Facility | None | $22.39 | $31.62 | $281.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | None | $14.13 | $14.13 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $33.88 Typical High $74.13 | Facility | None | $8.91 | $33.88 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $23.99 | Professional | None | $8.91 | $8.91 | $23.99 |
Hally Health Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $46.77 | Professional | None | $11.48 | $24.55 | $46.77 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $23.44 | Professional | None | $12.59 | $12.88 | $23.44 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $23.44 | Facility | None | $18.62 | $22.39 | $23.44 |
United Setting Professional Modifier None Typical Low $3.55 Median $9.12 Typical High $17.78 | Professional | None | $3.55 | $9.12 | $17.78 |
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 $7.08 Median $7.08 Typical High $7.76 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.09 |
Where Illinois sits
The same service costs 4.8 times more in Montana than in Kentucky. 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· 15th 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.