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 $2.45 Median $4.68 Typical High $9.12 | Facility | None | $2.45 | $4.68 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.45 Typical High $3.63 | Professional | None | $2.34 | $2.45 | $3.63 |
Ambetter Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $3.80 Median $5.75 Typical High $41.69 | Facility | None | $3.80 | $5.75 | $41.69 |
BCBS Illinois Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $3.47 | Professional | None | $2.34 | $3.02 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.61 Typical High $12.30 | Facility | None | $3.31 | $6.61 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $3.47 Typical High $5.50 | Professional | None | $1.51 | $3.47 | $5.50 |
Hally Health Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $15.49 | Professional | None | $3.16 | $5.13 | $15.49 |
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 $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Molina Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $3.80 | Professional | None | $1.66 | $1.66 | $3.80 |
United Setting Facility Modifier None Typical Low $3.02 Median $3.63 Typical High $7.59 | Facility | None | $3.02 | $3.63 | $7.59 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.91 Typical High $3.24 | Professional | None | $1.26 | $1.91 | $3.24 |
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 $1.23 Median $2.19 Typical High $4.57 | Facility | 52 · Reduced service | $1.23 | $2.19 | $4.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.50 Median $0.87 Typical High $1.82 | Facility | 53 · Discontinued | $0.50 | $0.87 | $1.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.23 Typical High $1.51 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.50 Typical High $0.60 | Professional | 53 · Discontinued | $0.50 | $0.50 | $0.60 |
Where Illinois sits
The same service costs 3.4 times more in Alaska 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· 28th of 51
$3.02
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.