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 $14.79 Median $23.99 Typical High $51.29 | Facility | None | $14.79 | $23.99 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $26.30 | Professional | None | $12.88 | $14.79 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $190.55 | Facility | None | $23.44 | $39.81 | $190.55 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.18 Typical High $17.38 | Professional | None | $3.47 | $13.18 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $35.48 Typical High $72.44 | Facility | None | $19.50 | $35.48 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $19.50 Typical High $26.92 | Professional | None | $8.51 | $19.50 | $26.92 |
Hally Health Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $151.36 | Professional | None | $18.20 | $25.12 | $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 $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $21.38 | Professional | None | $9.55 | $9.55 | $21.38 |
United Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $21.38 | Facility | None | $17.38 | $20.89 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $18.20 | Professional | None | $7.24 | $10.47 | $18.20 |
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 $7.08 Median $12.59 Typical High $26.30 | Facility | 52 · Reduced service | $7.08 | $12.59 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $5.01 Typical High $10.47 | Facility | 53 · Discontinued | $2.82 | $5.01 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $7.08 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.47 |
Where Illinois sits
The same service costs 20.4 times more in Vermont than in Kentucky. 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· 28th of 51
$16.98
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.