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 $10.96 Median $19.05 Typical High $38.90 | Facility | None | $10.96 | $19.05 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $15.85 | Professional | None | $10.23 | $10.47 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.22 Median $27.54 Typical High $134.90 | Facility | None | $16.22 | $27.54 | $134.90 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.00 Typical High $10.00 | Professional | None | $3.47 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $29.51 Typical High $53.70 | Facility | None | $14.45 | $29.51 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $15.14 Typical High $23.44 | Professional | None | $6.61 | $15.14 | $23.44 |
Hally Health Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $125.89 | Professional | None | $13.49 | $22.39 | $125.89 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Molina Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $16.22 | Professional | None | $7.08 | $7.08 | $16.22 |
United Setting Facility Modifier None Typical Low $12.88 Median $15.49 Typical High $16.22 | Facility | None | $12.88 | $15.49 | $16.22 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $13.80 | Professional | None | $5.37 | $8.13 | $13.80 |
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 $5.25 Median $9.33 Typical High $19.50 | Facility | 52 · Reduced service | $5.25 | $9.33 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $3.72 Typical High $7.76 | Facility | 53 · Discontinued | $2.14 | $3.72 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $6.46 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.57 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.57 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in New York. 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
$10.00
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.