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 $30.20 Median $44.67 Typical High $109.65 | Facility | None | $30.20 | $44.67 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $43.65 | Professional | None | $28.84 | $30.20 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $46.77 Median $79.43 Typical High $380.19 | Facility | None | $46.77 | $79.43 | $380.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $28.18 Typical High $28.18 | Professional | None | $3.47 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $85.11 Typical High $151.36 | Facility | None | $40.74 | $85.11 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $42.66 Typical High $64.57 | Professional | None | $19.05 | $42.66 | $64.57 |
Hally Health Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $169.82 | Professional | None | $38.02 | $64.57 | $169.82 |
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 $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $45.71 | Professional | None | $19.95 | $19.95 | $45.71 |
United Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $45.71 | Facility | None | $36.31 | $43.65 | $45.71 |
United Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $41.69 | Professional | None | $15.49 | $28.18 | $41.69 |
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 $15.14 Median $26.30 Typical High $54.95 | Facility | 52 · Reduced service | $15.14 | $26.30 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $10.72 Typical High $21.88 | Facility | 53 · Discontinued | $6.03 | $10.72 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | 52 · Reduced service | $15.14 | $15.14 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $7.24 | Professional | 53 · Discontinued | $6.03 | $6.03 | $7.24 |
Where Illinois sits
The same service costs 3.3 times more in Kansas 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
$28.18
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.