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 $17.38 Median $29.51 Typical High $60.26 | Facility | None | $17.38 | $29.51 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $26.30 | Professional | None | $15.85 | $16.60 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.88 Median $39.81 Typical High $169.82 | Facility | None | $12.88 | $39.81 | $169.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $14.13 Typical High $15.49 | Professional | None | $3.47 | $14.13 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $46.77 Typical High $87.10 | Facility | None | $22.91 | $46.77 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $30.90 Typical High $45.71 | Professional | None | $10.47 | $30.90 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $24.55 Median $36.31 Typical High $77.62 | Professional | None | $24.55 | $36.31 | $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 |
United Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $25.12 | Facility | None | $20.42 | $24.55 | $25.12 |
United Setting Professional Modifier None Typical Low $12.02 Median $22.39 Typical High $36.31 | Professional | None | $12.02 | $22.39 | $36.31 |
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 $8.32 Median $14.79 Typical High $30.90 | Facility | 52 · Reduced service | $8.32 | $14.79 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $5.89 Typical High $12.30 | Facility | 53 · Discontinued | $3.31 | $5.89 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.47 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.47 |
Where Illinois sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 51st of 51
$15.49
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.