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 $19.95 Median $32.36 Typical High $69.18 | Facility | None | $19.95 | $32.36 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $28.18 | Professional | None | $17.38 | $19.05 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $14.13 Typical High $34.67 | Professional | None | $6.17 | $14.13 | $34.67 |
BCBS Illinois Setting Facility Modifier None Typical Low $27.54 Median $37.15 Typical High $288.40 | Facility | None | $27.54 | $37.15 | $288.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $17.78 Typical High $17.78 | Professional | None | $3.47 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $51.29 Typical High $104.71 | Facility | None | $25.70 | $51.29 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $33.11 | Professional | None | $10.47 | $11.48 | $33.11 |
Hally Health Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $346.74 | Professional | None | $23.99 | $36.31 | $346.74 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $28.84 | Professional | None | $12.59 | $16.22 | $28.84 |
United Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $28.84 | Facility | None | $22.91 | $27.54 | $28.84 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $24.55 | Professional | None | $9.55 | $13.80 | $24.55 |
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 $9.33 Median $17.78 Typical High $34.67 | Facility | 52 · Reduced service | $9.33 | $17.78 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $7.24 Typical High $13.80 | Facility | 53 · Discontinued | $3.80 | $7.24 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.17 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.17 |
Where Illinois sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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· 42nd of 51
$17.78
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.