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 $5.75 Median $9.55 Typical High $19.95 | Facility | None | $5.75 | $9.55 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.50 Typical High $10.23 | Professional | None | $5.37 | $5.50 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $4.07 Median $10.00 Typical High $10.00 | Professional | None | $4.07 | $10.00 | $10.00 |
BCBS Illinois Setting Facility Modifier None Typical Low $8.71 Median $14.79 Typical High $69.18 | Facility | None | $8.71 | $14.79 | $69.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $5.13 Typical High $5.13 | Professional | None | $3.47 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $15.49 Typical High $27.54 | Facility | None | $7.41 | $15.49 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $7.94 Typical High $12.02 | Professional | None | $3.39 | $7.94 | $12.02 |
Hally Health Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $54.95 | Professional | None | $7.08 | $11.75 | $54.95 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $4.68 Typical High $8.32 | Professional | None | $3.63 | $4.68 | $8.32 |
United Setting Facility Modifier None Typical Low $6.61 Median $7.94 Typical High $15.14 | Facility | None | $6.61 | $7.94 | $15.14 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $7.24 | Professional | None | $2.82 | $4.27 | $7.24 |
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 $2.75 Median $4.79 Typical High $10.00 | Facility | 52 · Reduced service | $2.75 | $4.79 | $10.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.10 Median $1.95 Typical High $4.07 | Facility | 53 · Discontinued | $1.10 | $1.95 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $3.31 | Professional | 52 · Reduced service | $2.75 | $2.75 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.35 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.35 |
Where Illinois sits
The same service costs 11.0 times more in Vermont than in Kentucky. 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· 49th of 51
$5.13
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.