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 $24.55 Median $36.31 Typical High $67.61 | Facility | None | $24.55 | $36.31 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $45.71 | Professional | None | $24.55 | $26.92 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $20.42 | Professional | None | $14.79 | $14.79 | $20.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $380.19 | Facility | None | $38.02 | $64.57 | $380.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $22.91 Typical High $23.44 | Professional | None | $3.47 | $22.91 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $69.18 Typical High $123.03 | Facility | None | $33.11 | $69.18 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $52.48 | Professional | None | $15.49 | $34.67 | $52.48 |
Hally Health Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $251.19 | Professional | None | $30.90 | $51.29 | $251.19 |
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 $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $37.15 | Professional | None | $16.22 | $16.22 | $37.15 |
United Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $37.15 | Facility | None | $29.51 | $35.48 | $37.15 |
United Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $31.62 | Professional | None | $12.30 | $22.91 | $31.62 |
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 $12.02 Median $21.38 Typical High $44.67 | Facility | 52 · Reduced service | $12.02 | $21.38 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $8.51 Typical High $17.78 | Facility | 53 · Discontinued | $4.79 | $8.51 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $12.02 Typical High $14.79 | Professional | 52 · Reduced service | $12.02 | $12.02 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.89 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.89 |
Where Illinois sits
The same service costs 6.8 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· 48th of 51
$23.44
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.