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 $3.39 Median $5.62 Typical High $11.75 | Facility | None | $3.39 | $5.62 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.39 Typical High $6.03 | Professional | None | $3.24 | $3.39 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $4.68 Typical High $5.01 | Professional | None | $2.40 | $4.68 | $5.01 |
BCBS Illinois Setting Facility Modifier None Typical Low $5.01 Median $12.02 Typical High $46.77 | Facility | None | $5.01 | $12.02 | $46.77 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $3.89 | Professional | None | $3.02 | $3.47 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $9.12 Typical High $16.22 | Facility | None | $4.37 | $9.12 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.57 Typical High $6.92 | Professional | None | $2.88 | $4.57 | $6.92 |
Hally Health Setting Professional Modifier None Typical Low $4.07 Median $6.92 Typical High $50.12 | Professional | None | $4.07 | $6.92 | $50.12 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Molina Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $4.90 | Professional | None | $2.75 | $2.75 | $4.90 |
United Setting Facility Modifier None Typical Low $3.89 Median $4.68 Typical High $10.00 | Facility | None | $3.89 | $4.68 | $10.00 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.89 Typical High $5.13 | Professional | None | $2.09 | $3.89 | $5.13 |
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 $1.62 Median $2.82 Typical High $5.89 | Facility | 52 · Reduced service | $1.62 | $2.82 | $5.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.12 Typical High $2.34 | Facility | 53 · Discontinued | $0.65 | $1.12 | $2.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.78 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.78 |
Where Illinois sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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
$3.89
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.