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 $7.94 Median $13.18 Typical High $28.18 | Facility | None | $7.94 | $13.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $12.30 | Professional | None | $7.76 | $8.13 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $12.88 Median $26.92 Typical High $97.72 | Facility | None | $12.88 | $26.92 | $97.72 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $7.24 Typical High $7.24 | Professional | None | $3.47 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $21.88 Typical High $39.81 | Facility | None | $10.72 | $21.88 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $10.96 Typical High $16.98 | Professional | None | $4.90 | $10.96 | $16.98 |
Hally Health Setting Professional Modifier None Typical Low $10.00 Median $15.49 Typical High $128.82 | Professional | None | $10.00 | $15.49 | $128.82 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $11.75 | Professional | None | $5.25 | $5.25 | $11.75 |
United Setting Facility Modifier None Typical Low $9.55 Median $11.48 Typical High $23.99 | Facility | None | $9.55 | $11.48 | $23.99 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.24 Typical High $10.23 | Professional | None | $3.98 | $7.24 | $10.23 |
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 $3.89 Median $6.92 Typical High $14.45 | Facility | 52 · Reduced service | $3.89 | $6.92 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $2.75 Typical High $5.75 | Facility | 53 · Discontinued | $1.55 | $2.75 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $3.89 Typical High $4.79 | Professional | 52 · Reduced service | $3.89 | $3.89 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.91 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.91 |
Where Illinois sits
The same service costs 15.8 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· 50th of 51
$7.24
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.