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 $14.79 Median $21.88 Typical High $46.77 | Facility | None | $14.79 | $21.88 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $26.30 | Professional | None | $13.80 | $14.13 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $22.91 | Professional | None | $10.47 | $11.48 | $22.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.39 Median $40.74 Typical High $234.42 | Facility | None | $22.39 | $40.74 | $234.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.18 Typical High $16.98 | Professional | None | $3.47 | $13.18 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $39.81 Typical High $70.79 | Facility | None | $19.05 | $39.81 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $20.42 Typical High $30.20 | Professional | None | $8.91 | $20.42 | $30.20 |
Hally Health Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $151.36 | Professional | None | $17.78 | $29.51 | $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 $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $21.38 | Professional | None | $9.33 | $9.33 | $21.38 |
United Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $21.38 | Facility | None | $16.98 | $20.42 | $21.38 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.96 Typical High $18.20 | Professional | None | $7.08 | $10.96 | $18.20 |
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 $6.92 Median $12.30 Typical High $25.70 | Facility | 52 · Reduced service | $6.92 | $12.30 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $4.90 Typical High $10.23 | Facility | 53 · Discontinued | $2.82 | $4.90 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $8.51 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.39 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.39 |
Where Illinois sits
The same service costs 8.1 times more in Vermont than in Indiana. 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· 26th of 51
$16.98
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.