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 $10.47 Median $16.98 Typical High $36.31 | Facility | None | $10.47 | $16.98 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.47 Typical High $17.38 | Professional | None | $9.77 | $10.47 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $16.22 | Professional | None | $6.03 | $6.03 | $16.22 |
BCBS Illinois Setting Facility Modifier None Typical Low $15.14 Median $25.70 Typical High $125.89 | Facility | None | $15.14 | $25.70 | $125.89 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $9.33 Typical High $9.33 | Professional | None | $3.47 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $28.18 Typical High $50.12 | Facility | None | $13.49 | $28.18 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $13.80 Typical High $21.38 | Professional | None | $6.31 | $13.80 | $21.38 |
Hally Health Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $107.15 | Professional | None | $12.59 | $20.89 | $107.15 |
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 $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $15.14 | Professional | None | $6.61 | $6.61 | $15.14 |
United Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $15.14 | Facility | None | $12.02 | $14.45 | $15.14 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $12.88 | Professional | None | $5.01 | $7.76 | $12.88 |
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 $4.90 Median $8.71 Typical High $18.20 | Facility | 52 · Reduced service | $4.90 | $8.71 | $18.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $3.47 Typical High $7.24 | Facility | 53 · Discontinued | $2.00 | $3.47 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $4.90 Typical High $6.03 | Professional | 52 · Reduced service | $4.90 | $4.90 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.40 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.40 |
Where Illinois sits
The same service costs 9.5 times more in Vermont 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
$9.33
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.