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 $1.95 Median $3.09 Typical High $7.08 | Facility | None | $1.95 | $3.09 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $2.14 Typical High $3.63 | Professional | None | $1.95 | $2.14 | $3.63 |
Ambetter Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
BCBS Illinois Setting Facility Modifier None Typical Low $3.16 Median $5.62 Typical High $32.36 | Facility | None | $3.16 | $5.62 | $32.36 |
BCBS Illinois Setting Professional Modifier None Typical Low $1.82 Median $2.34 Typical High $3.47 | Professional | None | $1.82 | $2.34 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $5.50 Typical High $9.55 | Facility | None | $2.57 | $5.50 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $2.69 Typical High $4.17 | Professional | None | $1.78 | $2.69 | $4.17 |
Hally Health Setting Professional Modifier None Typical Low $2.51 Median $4.17 Typical High $25.70 | Professional | None | $2.51 | $4.17 | $25.70 |
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 $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Molina Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $2.95 | Professional | None | $1.66 | $1.66 | $2.95 |
United Setting Facility Modifier None Typical Low $2.34 Median $2.82 Typical High $6.03 | Facility | None | $2.34 | $2.82 | $6.03 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $2.95 | Professional | None | $1.41 | $2.34 | $2.95 |
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 $0.98 Median $1.74 Typical High $3.55 | Facility | 52 · Reduced service | $0.98 | $1.74 | $3.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.39 Median $0.69 Typical High $1.45 | Facility | 53 · Discontinued | $0.39 | $0.69 | $1.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.98 Median $0.98 Typical High $1.20 | Professional | 52 · Reduced service | $0.98 | $0.98 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.39 Typical High $0.47 | Professional | 53 · Discontinued | $0.39 | $0.39 | $0.47 |
Where Illinois sits
The same service costs 17.0 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· 28th of 51
$2.63
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.