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 $4.79 Median $7.08 Typical High $13.18 | Facility | None | $4.79 | $7.08 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.25 Typical High $8.91 | Professional | None | $4.79 | $5.25 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $3.80 | Professional | None | $2.88 | $2.88 | $3.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $7.76 Median $17.78 Typical High $72.44 | Facility | None | $7.76 | $17.78 | $72.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $4.47 Typical High $5.75 | Professional | None | $3.47 | $4.47 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $13.49 Typical High $24.55 | Facility | None | $6.61 | $13.49 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $6.92 Typical High $10.23 | Professional | None | $3.09 | $6.92 | $10.23 |
Hally Health Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $85.11 | Professional | None | $6.03 | $10.00 | $85.11 |
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 $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Molina Setting Professional Modifier None Typical Low $3.16 Median $4.07 Typical High $7.24 | Professional | None | $3.16 | $4.07 | $7.24 |
United Setting Facility Modifier None Typical Low $5.75 Median $6.92 Typical High $7.24 | Facility | None | $5.75 | $6.92 | $7.24 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.47 Typical High $8.13 | Professional | None | $2.45 | $4.47 | $8.13 |
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 $2.34 Median $4.17 Typical High $8.71 | Facility | 52 · Reduced service | $2.34 | $4.17 | $8.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.95 Median $1.70 Typical High $3.47 | Facility | 53 · Discontinued | $0.95 | $1.70 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.88 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.15 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.15 |
Where Illinois sits
The same service costs 12.9 times more in Vermont than in Alabama. 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· 32nd of 51
$5.75
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.