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 $12.02 Median $19.95 Typical High $41.69 | Facility | None | $12.02 | $19.95 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | None | $11.22 | $11.22 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $18.62 | Professional | None | $9.33 | $18.62 | $18.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $17.38 Median $29.51 Typical High $144.54 | Facility | None | $17.38 | $29.51 | $144.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.72 Typical High $10.72 | Professional | None | $3.47 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $57.54 | Facility | None | $15.49 | $32.36 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $16.22 Typical High $24.55 | Professional | None | $7.08 | $16.22 | $24.55 |
Hally Health Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $204.17 | Professional | None | $14.45 | $23.99 | $204.17 |
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 $9.77 Median $9.77 Typical High $17.38 | Professional | None | $9.77 | $9.77 | $17.38 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $17.38 | Facility | None | $13.80 | $16.60 | $17.38 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.72 Typical High $14.79 | Professional | None | $5.75 | $10.72 | $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 $10.00 Typical High $20.89 | Facility | 52 · Reduced service | $5.62 | $10.00 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $3.98 Typical High $8.32 | Facility | 53 · Discontinued | $2.29 | $3.98 | $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 $2.29 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.75 |
Where Illinois sits
The same service costs 28.8 times more in Vermont than in Alabama. 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
$10.72
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.