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 $4.90 Median $6.92 Typical High $15.49 | Facility | None | $4.90 | $6.92 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.90 Typical High $8.71 | Professional | None | $4.68 | $4.90 | $8.71 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $2.82 Typical High $7.59 | Professional | None | $2.51 | $2.82 | $7.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $7.59 Median $16.98 Typical High $58.88 | Facility | None | $7.59 | $16.98 | $58.88 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $4.37 Typical High $4.37 | Professional | None | $3.47 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $13.49 Typical High $22.91 | Facility | None | $6.31 | $13.49 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $6.61 Typical High $10.00 | Professional | None | $2.88 | $6.61 | $10.00 |
Hally Health Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $66.07 | Professional | None | $5.89 | $10.00 | $66.07 |
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 $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Molina Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $7.08 | Professional | None | $3.09 | $3.09 | $7.08 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.76 Typical High $7.08 | Facility | None | $5.62 | $6.76 | $7.08 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.37 Typical High $6.17 | Professional | None | $2.40 | $4.37 | $6.17 |
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 $2.34 Median $4.07 Typical High $8.51 | Facility | 52 · Reduced service | $2.34 | $4.07 | $8.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $1.62 Typical High $3.47 | Facility | 53 · Discontinued | $0.93 | $1.62 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.82 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.12 | Professional | 53 · Discontinued | $0.93 | $0.93 | $1.12 |
Where Illinois sits
The same service costs 13.5 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· 50th of 51
$4.37
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.