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 $8.91 Median $14.45 Typical High $30.90 | Facility | None | $8.91 | $14.45 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $15.14 | Professional | None | $8.32 | $8.91 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $13.80 | Professional | None | $5.13 | $5.13 | $13.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $107.15 | Facility | None | $13.80 | $30.20 | $107.15 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $7.94 Typical High $7.94 | Professional | None | $3.47 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $23.99 Typical High $43.65 | Facility | None | $11.75 | $23.99 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $12.30 Typical High $18.62 | Professional | None | $5.50 | $12.30 | $18.62 |
Hally Health Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $95.50 | Professional | None | $10.96 | $18.20 | $95.50 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $12.88 | Professional | None | $5.62 | $5.62 | $12.88 |
United Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $12.88 | Facility | None | $10.23 | $12.30 | $12.88 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.61 Typical High $11.22 | Professional | None | $4.37 | $6.61 | $11.22 |
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 $4.27 Median $7.41 Typical High $15.49 | Facility | 52 · Reduced service | $4.27 | $7.41 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $3.02 Typical High $6.31 | Facility | 53 · Discontinued | $1.70 | $3.02 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | 52 · Reduced service | $4.27 | $4.27 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.04 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.04 |
Where Illinois sits
The same service costs 12.6 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· 49th of 51
$7.94
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.