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 $0.08 Median $0.11 Typical High $0.32 | Facility | None | $0.08 | $0.11 | $0.32 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 52 · Reduced service | $0.04 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $1.26 Median $2.14 Typical High $6.31 | Facility | None | $1.26 | $2.14 | $6.31 |
BCBS Illinois Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Cigna Setting Facility Modifier None Typical Low $0.12 Median $0.18 Typical High $0.22 | Facility | None | $0.12 | $0.18 | $0.22 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Hally Health Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $9.12 | Professional | None | $5.13 | $7.08 | $9.12 |
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 $0.05 Median $1,513.56 Typical High $2,511.89 | Professional | None | $0.05 | $1,513.56 | $2,511.89 |
United Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.11 | Professional | None | $0.08 | $0.08 | $0.11 |
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 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.09 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.09 |
Where Illinois sits
The same service costs 14.8 times more in Montana than in Hawaii. 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· 45th of 51
$0.08
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.