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 $6.03 Median $10.00 Typical High $21.38 | Facility | None | $6.03 | $10.00 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $10.96 | Professional | None | $5.89 | $6.17 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $9.77 Median $22.39 Typical High $87.10 | Facility | None | $9.77 | $22.39 | $87.10 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $5.50 Typical High $7.24 | Professional | None | $3.47 | $5.50 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $16.60 Typical High $30.20 | Facility | None | $8.13 | $16.60 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $8.32 Typical High $12.88 | Professional | None | $3.80 | $8.32 | $12.88 |
Hally Health Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $53.70 | Professional | None | $7.41 | $11.48 | $53.70 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Molina Setting Professional Modifier None Typical Low $3.98 Median $5.01 Typical High $8.91 | Professional | None | $3.98 | $5.01 | $8.91 |
United Setting Facility Modifier None Typical Low $7.24 Median $8.71 Typical High $8.91 | Facility | None | $7.24 | $8.71 | $8.91 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $7.76 | Professional | None | $3.02 | $4.57 | $7.76 |
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 $2.95 Median $5.25 Typical High $10.96 | Facility | 52 · Reduced service | $2.95 | $5.25 | $10.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.17 Median $2.24 Typical High $4.37 | Facility | 53 · Discontinued | $1.17 | $2.24 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $2.95 Typical High $3.63 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.45 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.45 |
Where Illinois sits
The same service costs 5.8 times more in Vermont 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· 30th of 51
$7.24
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.