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 $15.14 Median $26.30 Typical High $54.95 | Facility | None | $15.14 | $26.30 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $28.18 | Professional | None | $14.45 | $15.14 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $190.55 | Facility | None | $23.44 | $38.90 | $190.55 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $14.13 Typical High $14.13 | Professional | None | $3.47 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $42.66 Typical High $75.86 | Facility | None | $20.42 | $42.66 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $21.88 Typical High $33.11 | Professional | None | $9.55 | $21.88 | $33.11 |
Hally Health Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $120.23 | Professional | None | $19.50 | $32.36 | $120.23 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $22.91 | Professional | None | $12.88 | $12.88 | $22.91 |
United Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $22.91 | Facility | None | $18.20 | $21.88 | $22.91 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.80 Typical High $19.95 | Professional | None | $7.76 | $13.80 | $19.95 |
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 $7.59 Median $13.18 Typical High $27.54 | Facility | 52 · Reduced service | $7.59 | $13.18 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $5.37 Typical High $11.22 | Facility | 53 · Discontinued | $3.02 | $5.37 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.72 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.72 |
Where Illinois sits
The same service costs 7.9 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
$14.13
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.