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 $6.76 Median $10.00 Typical High $22.39 | Facility | None | $6.76 | $10.00 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $12.59 | Professional | None | $6.61 | $7.08 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $10.96 | Professional | None | $4.07 | $4.07 | $10.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.96 Median $20.89 Typical High $104.71 | Facility | None | $10.96 | $20.89 | $104.71 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.31 Typical High $6.31 | Professional | None | $3.47 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.05 Typical High $33.88 | Facility | None | $9.12 | $19.05 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $9.55 Typical High $14.45 | Professional | None | $4.37 | $9.55 | $14.45 |
Hally Health Setting Professional Modifier None Typical Low $8.32 Median $14.13 Typical High $100.00 | Professional | None | $8.32 | $14.13 | $100.00 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Molina Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $10.23 | Professional | None | $4.47 | $4.47 | $10.23 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $10.23 | Facility | None | $8.13 | $9.77 | $10.23 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.25 Typical High $8.71 | Professional | None | $3.47 | $5.25 | $8.71 |
4 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 Facility Modifier 52 · Reduced service Typical Low $3.39 Median $5.89 Typical High $12.30 | Facility | 52 · Reduced service | $3.39 | $5.89 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.35 Median $2.34 Typical High $4.90 | Facility | 53 · Discontinued | $1.35 | $2.34 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.39 Typical High $4.07 | Professional | 52 · Reduced service | $3.39 | $3.39 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.62 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.62 |
Where Illinois sits
The same service costs 17.0 times more in Vermont 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· 49th of 51
$6.31
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.