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 $7.76 Median $12.88 Typical High $28.18 | Facility | None | $7.76 | $12.88 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $14.45 | Professional | None | $7.59 | $7.94 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $5.75 | Professional | None | $4.17 | $4.17 | $5.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.59 Median $28.84 Typical High $95.50 | Facility | None | $12.59 | $28.84 | $95.50 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $7.08 Typical High $7.08 | Professional | None | $3.47 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $21.38 Typical High $38.02 | Facility | None | $10.23 | $21.38 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $10.96 Typical High $16.60 | Professional | None | $4.79 | $10.96 | $16.60 |
Hally Health Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $100.00 | Professional | None | $9.77 | $16.22 | $100.00 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $6.46 Typical High $11.75 | Professional | None | $5.13 | $6.46 | $11.75 |
United Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $12.02 | Facility | None | $9.33 | $11.22 | $12.02 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.89 Typical High $10.00 | Professional | None | $3.89 | $5.89 | $10.00 |
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 $3.80 Median $6.76 Typical High $14.13 | Facility | 52 · Reduced service | $3.80 | $6.76 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $2.69 Typical High $5.62 | Facility | 53 · Discontinued | $1.51 | $2.69 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.80 Typical High $4.68 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.86 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.86 |
Where Illinois sits
The same service costs 12.9 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· 50th of 51
$7.08
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.