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 $11.75 Median $19.05 Typical High $40.74 | Facility | None | $11.75 | $19.05 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $18.62 | Professional | None | $11.22 | $11.75 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $18.62 Typical High $18.62 | Professional | None | $7.94 | $18.62 | $18.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $169.82 | Facility | None | $18.62 | $41.69 | $169.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.47 Typical High $13.80 | Professional | None | $3.47 | $10.47 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $31.62 Typical High $57.54 | Facility | None | $15.49 | $31.62 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $15.85 Typical High $24.55 | Professional | None | $7.08 | $15.85 | $24.55 |
Hally Health Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $125.89 | Professional | None | $14.45 | $21.88 | $125.89 |
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 $7.59 Median $7.59 Typical High $16.98 | Professional | None | $7.59 | $7.59 | $16.98 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $16.98 | Facility | None | $13.80 | $16.60 | $16.98 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $14.79 | Professional | None | $5.75 | $8.71 | $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 $2.24 Median $3.98 Typical High $8.32 | Facility | 53 · Discontinued | $2.24 | $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 $2.24 Median $2.24 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.75 |
Where Illinois sits
The same service costs 3.0 times more in Alaska 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· 28th of 51
$13.80
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.