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 $4.17 Median $7.08 Typical High $13.80 | Facility | None | $4.17 | $7.08 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.47 Typical High $7.76 | Professional | None | $4.07 | $4.47 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $6.76 | Professional | None | $2.51 | $2.51 | $6.76 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.76 Median $12.88 Typical High $69.18 | Facility | None | $6.76 | $12.88 | $69.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.89 Typical High $5.01 | Professional | None | $3.47 | $3.89 | $5.01 |
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 $2.69 Median $6.17 Typical High $8.71 | Professional | None | $2.69 | $6.17 | $8.71 |
Hally Health Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $66.07 | Professional | None | $5.25 | $8.71 | $66.07 |
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 $2.75 Median $2.75 Typical High $6.31 | Professional | None | $2.75 | $2.75 | $6.31 |
United Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $6.31 | Facility | None | $5.01 | $6.03 | $6.31 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.24 Typical High $5.37 | Professional | None | $2.09 | $3.24 | $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 $7.59 | Facility | 52 · Reduced service | $2.04 | $3.63 | $7.59 |
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 $2.51 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $1.00 | Professional | 53 · Discontinued | $0.81 | $0.81 | $1.00 |
Where Illinois sits
The same service costs 8.9 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· 31st of 51
$5.01
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.