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 $6.46 Median $10.96 Typical High $22.39 | Facility | None | $6.46 | $10.96 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $10.47 | Professional | None | $6.17 | $6.17 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.00 Median $22.39 Typical High $87.10 | Facility | None | $10.00 | $22.39 | $87.10 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $7.41 | Professional | None | $3.47 | $5.75 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $16.22 Typical High $31.62 | Facility | None | $8.51 | $16.22 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $8.71 Typical High $13.18 | Professional | None | $3.89 | $8.71 | $13.18 |
Hally Health Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $66.07 | Professional | None | $7.76 | $13.18 | $66.07 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Molina Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $9.33 | Professional | None | $4.07 | $4.07 | $9.33 |
United Setting Facility Modifier None Typical Low $7.41 Median $8.91 Typical High $19.05 | Facility | None | $7.41 | $8.91 | $19.05 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.37 Typical High $8.13 | Professional | None | $3.16 | $5.37 | $8.13 |
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 $3.09 Median $5.37 Typical High $11.22 | Facility | 52 · Reduced service | $3.09 | $5.37 | $11.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.23 Median $2.19 Typical High $4.47 | Facility | 53 · Discontinued | $1.23 | $2.19 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.09 Typical High $3.72 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.51 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.51 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 27th of 51
$7.41
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.