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 $4.07 Median $6.92 Typical High $14.13 | Facility | None | $4.07 | $6.92 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.07 Typical High $8.13 | Professional | None | $3.89 | $4.07 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $5.75 | Professional | None | $2.40 | $2.40 | $5.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.46 Median $15.14 Typical High $56.23 | Facility | None | $6.46 | $15.14 | $56.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $4.79 | Professional | None | $3.47 | $3.63 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $10.96 Typical High $20.42 | Facility | None | $5.50 | $10.96 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $5.75 Typical High $8.32 | Professional | None | $3.39 | $5.75 | $8.32 |
Hally Health Setting Professional Modifier None Typical Low $5.01 Median $8.32 Typical High $74.13 | Professional | None | $5.01 | $8.32 | $74.13 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Molina Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $5.89 | Professional | None | $2.63 | $2.63 | $5.89 |
United Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $5.89 | Facility | None | $4.79 | $5.75 | $5.89 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.79 Typical High $6.17 | Professional | None | $2.40 | $4.79 | $6.17 |
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 $1.95 Median $3.47 Typical High $7.24 | Facility | 52 · Reduced service | $1.95 | $3.47 | $7.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.38 Typical High $2.88 | Facility | 53 · Discontinued | $0.78 | $1.38 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $1.95 Typical High $2.40 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.95 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.95 |
Where Illinois sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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· 38th of 51
$4.79
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.