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 $7.41 Median $10.47 Typical High $23.44 | Facility | None | $7.41 | $10.47 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $14.13 | Professional | None | $7.08 | $7.76 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $10.47 Typical High $12.88 | Professional | None | $5.13 | $10.47 | $12.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $11.75 Median $26.30 Typical High $89.13 | Facility | None | $11.75 | $26.30 | $89.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.61 Typical High $6.61 | Professional | None | $3.47 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $19.95 Typical High $35.48 | Facility | None | $9.55 | $19.95 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $10.23 Typical High $15.49 | Professional | None | $4.47 | $10.23 | $15.49 |
Hally Health Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $83.18 | Professional | None | $9.12 | $15.14 | $83.18 |
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 $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $10.72 | Professional | None | $4.79 | $4.79 | $10.72 |
United Setting Facility Modifier None Typical Low $8.71 Median $10.47 Typical High $22.39 | Facility | None | $8.71 | $10.47 | $22.39 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.50 Typical High $9.33 | Professional | None | $3.63 | $5.50 | $9.33 |
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 $3.55 Median $6.31 Typical High $13.18 | Facility | 52 · Reduced service | $3.55 | $6.31 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.41 Median $2.51 Typical High $5.25 | Facility | 53 · Discontinued | $1.41 | $2.51 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.55 Typical High $4.37 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.74 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.74 |
Where Illinois sits
The same service costs 13.2 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· 50th of 51
$6.61
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.