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 $19.95 Typical High $38.90 | Facility | None | $11.75 | $19.95 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $20.42 | Professional | None | $11.48 | $12.30 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $14.13 | Professional | None | $7.08 | $7.08 | $14.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.05 Median $42.66 Typical High $162.18 | Facility | None | $19.05 | $42.66 | $162.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.96 Typical High $14.13 | Professional | None | $3.47 | $10.96 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $60.26 | Facility | None | $16.22 | $33.11 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $16.60 Typical High $25.70 | Professional | None | $7.41 | $16.60 | $25.70 |
Hally Health Setting Professional Modifier None Typical Low $15.14 Median $25.12 Typical High $125.89 | Professional | None | $15.14 | $25.12 | $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 $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $14.13 Typical High $17.78 | Professional | None | $7.76 | $14.13 | $17.78 |
United Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $17.78 | Facility | None | $14.13 | $16.98 | $17.78 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $15.49 | Professional | None | $6.03 | $9.12 | $15.49 |
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 $5.89 Median $10.23 Typical High $21.38 | Facility | 52 · Reduced service | $5.89 | $10.23 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.34 Median $4.17 Typical High $8.71 | Facility | 53 · Discontinued | $2.34 | $4.17 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $5.89 Typical High $7.08 | Professional | 52 · Reduced service | $5.89 | $5.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.82 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.82 |
Where Illinois sits
The same service costs 9.5 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· 32nd of 51
$14.13
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.