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 $17.38 Median $30.90 Typical High $63.10 | Facility | None | $17.38 | $30.90 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $26.92 | Professional | None | $14.13 | $17.38 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $25.12 Median $36.31 Typical High $194.98 | Facility | None | $25.12 | $36.31 | $194.98 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $16.22 Typical High $16.22 | Professional | None | $3.47 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $42.66 Typical High $87.10 | Facility | None | $23.44 | $42.66 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $23.99 Typical High $32.36 | Professional | None | $10.00 | $23.99 | $32.36 |
Hally Health Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $93.33 | Professional | None | $22.39 | $30.20 | $93.33 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $26.30 | Professional | None | $11.48 | $14.79 | $26.30 |
United Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $26.30 | Facility | None | $20.89 | $25.12 | $26.30 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $22.39 | Professional | None | $8.91 | $12.59 | $22.39 |
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 $8.71 Median $15.14 Typical High $31.62 | Facility | 52 · Reduced service | $8.71 | $15.14 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $6.17 Typical High $12.88 | Facility | 53 · Discontinued | $3.47 | $6.17 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $8.71 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.80 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.80 |
Where Illinois sits
The same service costs 6.6 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· 47th of 51
$16.22
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.