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 $4.17 Median $7.08 Typical High $15.14 | Facility | None | $4.17 | $7.08 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.37 Typical High $7.76 | Professional | None | $4.17 | $4.37 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $2.95 Median $3.24 Typical High $6.03 | Professional | None | $2.95 | $3.24 | $6.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.61 Median $11.22 Typical High $52.48 | Facility | None | $6.61 | $11.22 | $52.48 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.89 Typical High $5.01 | Professional | None | $3.47 | $3.89 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $11.48 Typical High $20.42 | Facility | None | $5.50 | $11.48 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $6.17 Typical High $8.91 | Professional | None | $2.51 | $6.17 | $8.91 |
Hally Health Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $53.70 | Professional | None | $5.37 | $8.13 | $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 $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Molina Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $6.31 | Professional | None | $2.75 | $2.75 | $6.31 |
United Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $6.31 | Facility | None | $5.01 | $6.03 | $6.31 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.24 Typical High $5.50 | Professional | None | $2.14 | $3.24 | $5.50 |
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 $2.09 Median $3.63 Typical High $7.59 | Facility | 52 · Reduced service | $2.09 | $3.63 | $7.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.83 Median $1.48 Typical High $3.09 | Facility | 53 · Discontinued | $0.83 | $1.48 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.09 Typical High $2.51 | Professional | 52 · Reduced service | $2.09 | $2.09 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $1.00 | Professional | 53 · Discontinued | $0.83 | $0.83 | $1.00 |
Where Illinois sits
The same service costs 9.3 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· 36th of 51
$4.79
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.