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 $15.49 Median $23.44 Typical High $57.54 | Facility | None | $15.49 | $23.44 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $15.49 Typical High $22.91 | Professional | None | $14.79 | $15.49 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $23.99 Median $40.74 Typical High $194.98 | Facility | None | $23.99 | $40.74 | $194.98 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $14.79 Typical High $14.79 | Professional | None | $3.47 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $43.65 Typical High $79.43 | Facility | None | $21.38 | $43.65 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $21.88 Typical High $33.88 | Professional | None | $9.77 | $21.88 | $33.88 |
Hally Health Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $208.93 | Professional | None | $19.95 | $33.11 | $208.93 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $23.99 | Professional | None | $10.47 | $10.47 | $23.99 |
United Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $48.98 | Facility | None | $19.05 | $22.91 | $48.98 |
United Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $20.42 | Professional | None | $7.94 | $12.02 | $20.42 |
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 $7.76 Median $13.80 Typical High $28.84 | Facility | 52 · Reduced service | $7.76 | $13.80 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $5.50 Typical High $11.48 | Facility | 53 · Discontinued | $3.09 | $5.50 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $9.55 | Professional | 52 · Reduced service | $7.76 | $7.76 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.80 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.80 |
Where Illinois sits
The same service costs 5.5 times more in Kansas than in Alabama. 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· 46th of 51
$14.79
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.