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 $11.22 Median $19.05 Typical High $40.74 | Facility | None | $11.22 | $19.05 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $13.49 | Professional | None | $10.72 | $11.22 | $13.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.22 Median $25.70 Typical High $131.83 | Facility | None | $16.22 | $25.70 | $131.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.47 Typical High $10.47 | Professional | None | $3.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $29.51 Typical High $57.54 | Facility | None | $15.49 | $29.51 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $15.85 Typical High $23.44 | Professional | None | $7.08 | $15.85 | $23.44 |
Hally Health Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $61.66 | Professional | None | $14.45 | $21.88 | $61.66 |
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 $7.41 Median $7.41 Typical High $16.98 | Professional | None | $7.41 | $7.41 | $16.98 |
United Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $16.98 | Facility | None | $13.49 | $16.22 | $16.98 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $16.60 | Professional | None | $5.75 | $9.33 | $16.60 |
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 $9.77 Typical High $20.42 | Facility | 52 · Reduced service | $5.62 | $9.77 | $20.42 |
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 $6.76 | Professional | 52 · Reduced service | $5.62 | $5.62 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.69 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.69 |
Where Illinois sits
The same service costs 4.6 times more in Vermont 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· 46th of 51
$10.47
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.