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 $2.45 Median $3.63 Typical High $8.91 | Facility | None | $2.45 | $3.63 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.57 Typical High $4.57 | Professional | None | $2.45 | $2.57 | $4.57 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.82 Typical High $4.07 | Professional | None | $1.51 | $1.82 | $4.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.23 Median $24.55 Typical High $53.70 | Facility | None | $10.23 | $24.55 | $53.70 |
BCBS Illinois Setting Professional Modifier None Typical Low $2.04 Median $2.29 Typical High $3.47 | Professional | None | $2.04 | $2.29 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.61 Typical High $12.30 | Facility | None | $3.31 | $6.61 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $3.47 Typical High $5.50 | Professional | None | $1.51 | $3.47 | $5.50 |
Hally Health Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $50.12 | Professional | None | $3.16 | $5.25 | $50.12 |
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 $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Molina Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $3.72 | Professional | None | $1.62 | $1.62 | $3.72 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.29 Typical High $4.17 | Professional | None | $1.26 | $2.29 | $4.17 |
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 $1.23 Median $2.19 Typical High $4.47 | Facility | 52 · Reduced service | $1.23 | $2.19 | $4.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.49 Median $0.87 Typical High $1.82 | Facility | 53 · Discontinued | $0.49 | $0.87 | $1.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.23 Typical High $1.51 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.60 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.60 |
Where Illinois sits
The same service costs 28.2 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· 31st of 51
$3.09
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.