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 $8.71 Median $12.30 Typical High $30.20 | Facility | None | $8.71 | $12.30 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $15.85 | Professional | None | $8.32 | $9.12 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $13.80 | Professional | None | $5.13 | $6.31 | $13.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $13.18 Median $22.39 Typical High $131.83 | Facility | None | $13.18 | $22.39 | $131.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $7.76 Typical High $7.76 | Professional | None | $3.47 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $23.99 Typical High $42.66 | Facility | None | $11.48 | $23.99 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $11.75 Typical High $17.78 | Professional | None | $5.25 | $11.75 | $17.78 |
Hally Health Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $151.36 | Professional | None | $10.72 | $16.60 | $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 $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $12.59 | Professional | None | $5.62 | $5.62 | $12.59 |
United Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $12.59 | Facility | None | $10.23 | $12.30 | $12.59 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $10.96 | Professional | None | $4.27 | $6.46 | $10.96 |
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 $4.17 Median $7.41 Typical High $15.49 | Facility | 52 · Reduced service | $4.17 | $7.41 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.66 Median $2.95 Typical High $6.17 | Facility | 53 · Discontinued | $1.66 | $2.95 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.17 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.04 |
Where Illinois sits
The same service costs 26.9 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· 48th of 51
$7.76
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.