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 $3.80 Median $6.61 Typical High $13.80 | Facility | None | $3.80 | $6.61 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $5.50 | Professional | None | $3.80 | $3.89 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $5.75 Median $9.33 Typical High $63.10 | Facility | None | $5.75 | $9.33 | $63.10 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.55 Typical High $4.57 | Professional | None | $3.47 | $3.55 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $10.23 Typical High $19.05 | Facility | None | $5.13 | $10.23 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $5.37 Typical High $8.32 | Professional | None | $2.40 | $5.37 | $8.32 |
Hally Health Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $16.98 | Professional | None | $4.68 | $7.41 | $16.98 |
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 $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Molina Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $5.75 | Professional | None | $3.24 | $3.24 | $5.75 |
United Setting Facility Modifier None Typical Low $4.57 Median $5.50 Typical High $5.75 | Facility | None | $4.57 | $5.50 | $5.75 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.95 Typical High $5.01 | Professional | None | $1.95 | $2.95 | $5.01 |
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 $1.91 Median $3.31 Typical High $6.92 | Facility | 52 · Reduced service | $1.91 | $3.31 | $6.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.76 Median $1.32 Typical High $2.75 | Facility | 53 · Discontinued | $0.76 | $1.32 | $2.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $1.91 Typical High $2.29 | Professional | 52 · Reduced service | $1.91 | $1.91 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.91 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.91 |
Where Illinois sits
The same service costs 4.4 times more in Minnesota 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· 33rd of 51
$4.47
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.