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 $11.75 Median $19.50 Typical High $40.74 | Facility | None | $11.75 | $19.50 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $16.60 | Professional | None | $10.47 | $11.22 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $141.25 | Facility | None | $16.60 | $23.99 | $141.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.47 Typical High $10.47 | Professional | None | $3.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $31.62 Typical High $57.54 | Facility | None | $15.49 | $31.62 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $15.85 Typical High $24.55 | Professional | None | $7.08 | $15.85 | $24.55 |
Hally Health Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $208.93 | Professional | None | $14.45 | $21.88 | $208.93 |
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 $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $16.98 | Professional | None | $6.92 | $6.92 | $16.98 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $16.98 | Facility | None | $13.80 | $16.60 | $16.98 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $14.79 | Professional | None | $5.75 | $8.71 | $14.79 |
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 $5.62 Median $10.72 Typical High $20.89 | Facility | 52 · Reduced service | $5.62 | $10.72 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $4.27 Typical High $8.32 | Facility | 53 · Discontinued | $2.24 | $4.27 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $6.92 | Professional | 52 · Reduced service | $5.62 | $5.62 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.75 |
Where Illinois sits
The same service costs 3.7 times more in Alaska 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· 50th of 51
$10.47
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.