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 $17.78 Median $30.20 Typical High $63.10 | Facility | None | $17.78 | $30.20 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $29.51 | Professional | None | $16.60 | $17.78 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $28.18 | Professional | None | $10.47 | $12.88 | $28.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $213.80 | Facility | None | $26.30 | $44.67 | $213.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $15.85 Typical High $15.85 | Professional | None | $3.47 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $47.86 Typical High $87.10 | Facility | None | $23.44 | $47.86 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $24.55 Typical High $37.15 | Professional | None | $10.96 | $24.55 | $37.15 |
Hally Health Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $158.49 | Professional | None | $21.88 | $36.31 | $158.49 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $26.30 | Professional | None | $11.48 | $14.45 | $26.30 |
United Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $26.30 | Facility | None | $20.89 | $25.12 | $26.30 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.79 Typical High $22.39 | Professional | None | $8.71 | $14.79 | $22.39 |
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 $8.51 Median $15.14 Typical High $31.62 | Facility | 52 · Reduced service | $8.51 | $15.14 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $6.03 Typical High $12.59 | Facility | 53 · Discontinued | $3.39 | $6.03 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $10.47 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.17 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.17 |
Where Illinois sits
The same service costs 5.6 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· 50th of 51
$15.85
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.