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 $5.89 Median $9.55 Typical High $20.42 | Facility | None | $5.89 | $9.55 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $10.00 | Professional | None | $5.50 | $5.89 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $8.91 | Professional | None | $3.47 | $3.47 | $8.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $9.33 Median $19.95 Typical High $70.79 | Facility | None | $9.33 | $19.95 | $70.79 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $5.25 Typical High $5.25 | Professional | None | $3.47 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $15.85 Typical High $28.84 | Facility | None | $7.76 | $15.85 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $7.94 Typical High $12.30 | Professional | None | $3.55 | $7.94 | $12.30 |
Hally Health Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $56.23 | Professional | None | $7.24 | $12.02 | $56.23 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $8.51 | Professional | None | $4.79 | $4.79 | $8.51 |
United Setting Facility Modifier None Typical Low $6.92 Median $8.32 Typical High $8.51 | Facility | None | $6.92 | $8.32 | $8.51 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.37 Typical High $7.41 | Professional | None | $2.88 | $4.37 | $7.41 |
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 $2.82 Median $5.01 Typical High $10.47 | Facility | 52 · Reduced service | $2.82 | $5.01 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $2.00 Typical High $4.17 | Facility | 53 · Discontinued | $1.12 | $2.00 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $3.47 | Professional | 52 · Reduced service | $2.82 | $2.82 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.38 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.38 |
Where Illinois sits
The same service costs 13.5 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
$5.25
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.