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 $6.92 Median $11.22 Typical High $23.99 | Facility | None | $6.92 | $11.22 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $11.48 | Professional | None | $6.46 | $6.61 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $10.96 Typical High $10.96 | Professional | None | $5.01 | $10.96 | $10.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $8.71 Median $12.02 Typical High $83.18 | Facility | None | $8.71 | $12.02 | $83.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.17 Typical High $6.17 | Professional | None | $3.47 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.05 Typical High $33.88 | Facility | None | $9.12 | $19.05 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $9.55 Typical High $14.45 | Professional | None | $4.27 | $9.55 | $14.45 |
Hally Health Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $77.62 | Professional | None | $8.13 | $12.88 | $77.62 |
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 $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Molina Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $10.00 | Professional | None | $4.47 | $4.47 | $10.00 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $20.89 | Facility | None | $8.13 | $9.77 | $20.89 |
United Setting Professional Modifier None Typical Low $3.31 Median $5.13 Typical High $8.71 | Professional | None | $3.31 | $5.13 | $8.71 |
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 $3.31 Median $5.89 Typical High $12.30 | Facility | 52 · Reduced service | $3.31 | $5.89 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $2.34 Typical High $4.90 | Facility | 53 · Discontinued | $1.32 | $2.34 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.31 Typical High $4.07 | Professional | 52 · Reduced service | $3.31 | $3.31 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.62 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.62 |
Where Illinois sits
The same service costs 5.6 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
$6.17
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.