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 $6.92 Median $11.75 Typical High $23.99 | Facility | None | $6.92 | $11.75 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $12.30 | Professional | None | $6.46 | $6.61 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $83.18 | Facility | None | $10.23 | $16.60 | $83.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.17 Typical High $6.17 | Professional | None | $3.47 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $18.20 Typical High $32.36 | Facility | None | $8.91 | $18.20 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $9.55 Typical High $14.45 | Professional | None | $4.07 | $9.55 | $14.45 |
Hally Health Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $123.03 | Professional | None | $7.94 | $12.59 | $123.03 |
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 $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $10.00 | Professional | None | $4.37 | $5.62 | $10.00 |
United Setting Facility Modifier None Typical Low $7.94 Median $9.55 Typical High $10.00 | Facility | None | $7.94 | $9.55 | $10.00 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.25 Typical High $8.71 | Professional | None | $3.39 | $5.25 | $8.71 |
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 $3.31 Median $5.75 Typical High $12.02 | Facility | 52 · Reduced service | $3.31 | $5.75 | $12.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $2.34 Typical High $4.90 | Facility | 53 · Discontinued | $1.32 | $2.34 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.31 Typical High $3.98 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.58 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.58 |
Where Illinois sits
The same service costs 3.6 times more in Alaska 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
$6.17
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.