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 $19.05 Median $31.62 Typical High $66.07 | Facility | None | $19.05 | $31.62 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $32.36 | Professional | None | $17.78 | $18.62 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $33.11 | Professional | None | $10.96 | $10.96 | $33.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.18 Median $47.86 Typical High $229.09 | Facility | None | $28.18 | $47.86 | $229.09 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $16.98 Typical High $16.98 | Professional | None | $3.47 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $51.29 Typical High $91.20 | Facility | None | $24.55 | $51.29 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $25.70 Typical High $39.81 | Professional | None | $11.48 | $25.70 | $39.81 |
Hally Health Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $151.36 | Professional | None | $22.91 | $38.90 | $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 $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $27.54 | Professional | None | $12.02 | $15.49 | $27.54 |
United Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $56.23 | Facility | None | $21.88 | $26.30 | $56.23 |
United Setting Professional Modifier None Typical Low $9.33 Median $16.98 Typical High $23.99 | Professional | None | $9.33 | $16.98 | $23.99 |
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 $9.12 Median $15.85 Typical High $33.11 | Facility | 52 · Reduced service | $9.12 | $15.85 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $6.31 Typical High $13.18 | Facility | 53 · Discontinued | $3.63 | $6.31 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | 52 · Reduced service | $9.12 | $9.12 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.37 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.37 |
Where Illinois sits
The same service costs 13.5 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· 49th 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.