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 $9.33 Median $15.85 Typical High $32.36 | Facility | None | $9.33 | $15.85 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.91 Typical High $13.18 | Professional | None | $8.71 | $8.91 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
BCBS Illinois Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $112.20 | Facility | None | $13.80 | $23.99 | $112.20 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $8.32 Typical High $8.32 | Professional | None | $3.47 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $25.12 Typical High $44.67 | Facility | None | $12.02 | $25.12 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $12.59 Typical High $19.50 | Professional | None | $5.62 | $12.59 | $19.50 |
Hally Health Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $213.80 | Professional | None | $11.22 | $19.05 | $213.80 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $13.49 | Professional | None | $5.89 | $5.89 | $13.49 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $13.49 | Facility | None | $10.72 | $12.88 | $13.49 |
United Setting Professional Modifier None Typical Low $4.57 Median $8.32 Typical High $11.75 | Professional | None | $4.57 | $8.32 | $11.75 |
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 $4.47 Median $7.76 Typical High $16.22 | Facility | 52 · Reduced service | $4.47 | $7.76 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $3.16 Typical High $6.61 | Facility | 53 · Discontinued | $1.78 | $3.16 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $5.37 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.14 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.14 |
Where Illinois sits
The same service costs 4.9 times more in South Carolina 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· 48th of 51
$8.32
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.