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 $5.01 Median $7.24 Typical High $16.60 | Facility | None | $5.01 | $7.24 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $9.33 | Professional | None | $4.90 | $5.13 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $8.13 | Professional | None | $3.02 | $3.02 | $8.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $8.13 Median $20.89 Typical High $79.43 | Facility | None | $8.13 | $20.89 | $79.43 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $6.03 | Professional | None | $3.47 | $4.68 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $14.13 Typical High $24.55 | Facility | None | $6.61 | $14.13 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $7.08 Typical High $10.47 | Professional | None | $3.09 | $7.08 | $10.47 |
Hally Health Setting Professional Modifier None Typical Low $6.31 Median $10.47 Typical High $70.79 | Professional | None | $6.31 | $10.47 | $70.79 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $4.17 Typical High $7.59 | Professional | None | $3.31 | $4.17 | $7.59 |
United Setting Facility Modifier None Typical Low $6.03 Median $7.24 Typical High $15.14 | Facility | None | $6.03 | $7.24 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $6.46 | Professional | None | $2.51 | $3.80 | $6.46 |
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 $2.45 Median $4.37 Typical High $9.12 | Facility | 52 · Reduced service | $2.45 | $4.37 | $9.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $1.74 Typical High $3.63 | Facility | 53 · Discontinued | $1.00 | $1.74 | $3.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $2.45 Typical High $3.02 | Professional | 52 · Reduced service | $2.45 | $2.45 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.20 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.20 |
Where Illinois sits
The same service costs 14.5 times more in Minnesota 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· 35th of 51
$6.03
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.