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 $4.07 Median $7.24 Typical High $14.79 | Facility | None | $4.07 | $7.24 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.27 Typical High $7.59 | Professional | None | $4.07 | $4.27 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $5.89 Typical High $6.61 | Professional | None | $3.02 | $5.89 | $6.61 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.61 Median $11.22 Typical High $67.61 | Facility | None | $6.61 | $11.22 | $67.61 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.80 Typical High $4.90 | Professional | None | $3.47 | $3.80 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $11.48 Typical High $20.42 | Facility | None | $5.50 | $11.48 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.89 Typical High $8.91 | Professional | None | $2.51 | $5.89 | $8.91 |
Hally Health Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $41.69 | Professional | None | $5.25 | $8.71 | $41.69 |
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 $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Molina Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $6.17 | Professional | None | $2.69 | $2.69 | $6.17 |
United Setting Facility Modifier None Typical Low $4.90 Median $5.89 Typical High $10.47 | Facility | None | $4.90 | $5.89 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.16 Typical High $5.37 | Professional | None | $2.09 | $3.16 | $5.37 |
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 $2.04 Median $3.63 Typical High $7.41 | Facility | 52 · Reduced service | $2.04 | $3.63 | $7.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.81 Median $1.45 Typical High $3.02 | Facility | 53 · Discontinued | $0.81 | $1.45 | $3.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.24 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.89 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.89 |
Where Illinois sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 28th of 51
$4.90
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.