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 $15.85 Median $22.39 Typical High $51.29 | Facility | None | $15.85 | $22.39 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $26.30 | Professional | None | $15.14 | $15.85 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $22.39 | Professional | None | $9.33 | $9.33 | $22.39 |
BCBS Illinois Setting Facility Modifier None Typical Low $25.12 Median $63.10 Typical High $245.47 | Facility | None | $25.12 | $63.10 | $245.47 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $14.45 Typical High $18.62 | Professional | None | $3.47 | $14.45 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $43.65 Typical High $77.62 | Facility | None | $20.89 | $43.65 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $21.38 Typical High $28.18 | Professional | None | $13.49 | $21.38 | $28.18 |
Hally Health Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $151.36 | Professional | None | $19.50 | $32.36 | $151.36 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $23.44 | Professional | None | $10.23 | $12.88 | $23.44 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $47.86 | Facility | None | $18.62 | $22.39 | $47.86 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.75 Typical High $19.95 | Professional | None | $7.76 | $11.75 | $19.95 |
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 $7.59 Median $13.49 Typical High $28.18 | Facility | 52 · Reduced service | $7.59 | $13.49 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $5.37 Typical High $11.22 | Facility | 53 · Discontinued | $3.02 | $5.37 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $9.33 | Professional | 52 · Reduced service | $7.59 | $7.59 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.72 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.72 |
Where Illinois sits
The same service costs 6.8 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· 32nd of 51
$18.62
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.