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 $9.33 Median $16.22 Typical High $34.67 | Facility | None | $9.33 | $16.22 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $11.48 | Professional | None | $8.91 | $9.33 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $14.79 Median $23.99 Typical High $120.23 | Facility | None | $14.79 | $23.99 | $120.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $8.91 Typical High $8.91 | Professional | None | $3.47 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $26.92 Typical High $47.86 | Facility | None | $12.88 | $26.92 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $13.80 Typical High $20.89 | Professional | None | $6.03 | $13.80 | $20.89 |
Hally Health Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $125.89 | Professional | None | $12.02 | $19.95 | $125.89 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $14.45 | Professional | None | $8.13 | $8.13 | $14.45 |
United Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $14.45 | Facility | None | $11.48 | $13.80 | $14.45 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.41 Typical High $12.30 | Professional | None | $4.79 | $7.41 | $12.30 |
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 $4.68 Median $8.32 Typical High $17.38 | Facility | 52 · Reduced service | $4.68 | $8.32 | $17.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.91 Median $3.31 Typical High $6.92 | Facility | 53 · Discontinued | $1.91 | $3.31 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $5.75 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.29 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.29 |
Where Illinois sits
The same service costs 4.8 times more in Kansas than in Nebraska. 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· 48th of 51
$8.91
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.