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 $13.80 Median $23.44 Typical High $50.12 | Facility | None | $13.80 | $23.44 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $23.44 | Professional | None | $13.49 | $14.45 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $22.39 | Professional | None | $8.32 | $8.32 | $22.39 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.39 Median $50.12 Typical High $173.78 | Facility | None | $22.39 | $50.12 | $173.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $12.88 Typical High $12.88 | Professional | None | $3.47 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $38.90 Typical High $69.18 | Facility | None | $18.62 | $38.90 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $19.50 Typical High $30.20 | Professional | None | $8.71 | $19.50 | $30.20 |
Hally Health Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $162.18 | Professional | None | $17.78 | $29.51 | $162.18 |
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 $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $20.89 | Professional | None | $9.12 | $9.12 | $20.89 |
United Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $42.66 | Facility | None | $16.60 | $19.95 | $42.66 |
United Setting Professional Modifier None Typical Low $7.08 Median $12.59 Typical High $18.20 | Professional | None | $7.08 | $12.59 | $18.20 |
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 $6.92 Median $12.02 Typical High $25.12 | Facility | 52 · Reduced service | $6.92 | $12.02 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.75 Median $4.90 Typical High $10.23 | Facility | 53 · Discontinued | $2.75 | $4.90 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.39 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.39 |
Where Illinois sits
The same service costs 7.9 times more in Vermont than in Maryland. 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· 50th of 51
$12.88
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.