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 $9.33 Median $15.85 Typical High $32.36 | Facility | None | $9.33 | $15.85 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $16.60 | Professional | None | $8.32 | $8.71 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $16.22 | Professional | None | $5.37 | $5.37 | $16.22 |
BCBS Illinois Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $112.20 | Facility | None | $13.80 | $23.99 | $112.20 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $8.32 Typical High $8.32 | Professional | None | $3.47 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $25.12 Typical High $44.67 | Facility | None | $12.02 | $25.12 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $12.59 Typical High $19.50 | Professional | None | $5.62 | $12.59 | $19.50 |
Hally Health Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $93.33 | Professional | None | $11.22 | $18.62 | $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 $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $13.49 | Professional | None | $5.89 | $5.89 | $13.49 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $27.54 | Facility | None | $10.72 | $12.88 | $27.54 |
United Setting Professional Modifier None Typical Low $4.47 Median $8.32 Typical High $11.48 | Professional | None | $4.47 | $8.32 | $11.48 |
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 $4.37 Median $7.76 Typical High $16.22 | Facility | 52 · Reduced service | $4.37 | $7.76 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $3.09 Typical High $6.46 | Facility | 53 · Discontinued | $1.78 | $3.09 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $5.37 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.14 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.14 |
Where Illinois sits
The same service costs 13.8 times more in Vermont than in Utah. 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
$8.32
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.