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 $7.41 Median $12.59 Typical High $26.92 | Facility | None | $7.41 | $12.59 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $8.32 Typical High $14.45 | Professional | None | $7.41 | $8.32 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $12.30 | Professional | None | $4.47 | $4.47 | $12.30 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.30 Median $27.54 Typical High $93.33 | Facility | None | $12.30 | $27.54 | $93.33 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $6.92 | Professional | None | $3.47 | $6.92 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $20.89 Typical High $38.02 | Facility | None | $10.23 | $20.89 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $10.47 Typical High $16.22 | Professional | None | $4.79 | $10.47 | $16.22 |
Hally Health Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $120.23 | Professional | None | $9.55 | $15.49 | $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 $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $11.22 | Professional | None | $6.31 | $6.31 | $11.22 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.72 Typical High $11.22 | Facility | None | $9.12 | $10.72 | $11.22 |
United Setting Professional Modifier None Typical Low $3.80 Median $6.31 Typical High $9.77 | Professional | None | $3.80 | $6.31 | $9.77 |
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 $3.72 Median $6.61 Typical High $13.80 | Facility | 52 · Reduced service | $3.72 | $6.61 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.48 Median $2.63 Typical High $5.50 | Facility | 53 · Discontinued | $1.48 | $2.63 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | 52 · Reduced service | $3.72 | $3.72 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.82 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.82 |
Where Illinois sits
The same service costs 10.7 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
$6.92
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.