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 $10.00 Median $15.85 Typical High $33.88 | Facility | None | $10.00 | $15.85 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.33 Typical High $17.38 | Professional | None | $9.12 | $9.33 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.92 | Professional | None | $5.13 | $5.13 | $6.92 |
BCBS Illinois Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $117.49 | Facility | None | $14.45 | $23.99 | $117.49 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $8.71 | Professional | None | $3.47 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $26.30 Typical High $47.86 | Facility | None | $12.88 | $26.30 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $13.49 Typical High $20.42 | Professional | None | $6.03 | $13.49 | $20.42 |
Hally Health Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $97.72 | Professional | None | $12.02 | $19.95 | $97.72 |
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 $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $14.13 | Professional | None | $6.31 | $6.31 | $14.13 |
United Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $28.84 | Facility | None | $11.48 | $13.80 | $28.84 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.71 Typical High $12.59 | Professional | None | $4.79 | $8.71 | $12.59 |
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 $1.86 Median $3.31 Typical High $6.92 | Facility | 53 · Discontinued | $1.86 | $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 $1.86 Median $1.86 Typical High $2.29 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.29 |
Where Illinois sits
The same service costs 15.1 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
$8.71
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.