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 $4.37 Median $7.24 Typical High $15.49 | Facility | None | $4.37 | $7.24 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.47 Typical High $7.94 | Professional | None | $4.27 | $4.47 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $7.76 Typical High $7.76 | Professional | None | $3.24 | $7.76 | $7.76 |
BCBS Illinois Setting Facility Modifier None Typical Low $7.08 Median $15.14 Typical High $53.70 | Facility | None | $7.08 | $15.14 | $53.70 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3.98 Typical High $4.17 | Professional | None | $3.47 | $3.98 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $12.02 Typical High $21.88 | Facility | None | $5.89 | $12.02 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $6.17 Typical High $9.55 | Professional | None | $2.69 | $6.17 | $9.55 |
Hally Health Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $42.66 | Professional | None | $5.50 | $9.12 | $42.66 |
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 $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Molina Setting Professional Modifier None Typical Low $2.88 Median $3.63 Typical High $6.46 | Professional | None | $2.88 | $3.63 | $6.46 |
United Setting Facility Modifier None Typical Low $5.25 Median $6.31 Typical High $6.46 | Facility | None | $5.25 | $6.31 | $6.46 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.98 Typical High $5.62 | Professional | None | $2.19 | $3.98 | $5.62 |
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 $2.14 Median $3.80 Typical High $7.94 | Facility | 52 · Reduced service | $2.14 | $3.80 | $7.94 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.85 Median $1.51 Typical High $3.16 | Facility | 53 · Discontinued | $0.85 | $1.51 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.14 Typical High $2.63 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.05 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.05 |
Where Illinois sits
The same service costs 4.5 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· 49th of 51
$4.17
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.