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 $8.71 Median $14.79 Typical High $31.62 | Facility | None | $8.71 | $14.79 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $16.98 | Professional | None | $8.71 | $9.55 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $5.25 Typical High $10.47 | Professional | None | $4.79 | $5.25 | $10.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $14.13 Median $27.54 Typical High $177.83 | Facility | None | $14.13 | $27.54 | $177.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $8.51 Typical High $10.47 | Professional | None | $3.47 | $8.51 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $24.55 Typical High $43.65 | Facility | None | $11.75 | $24.55 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $12.59 Typical High $19.05 | Professional | None | $5.62 | $12.59 | $19.05 |
Hally Health Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $100.00 | Professional | None | $10.96 | $18.62 | $100.00 |
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 $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $13.18 | Professional | None | $7.41 | $7.41 | $13.18 |
United Setting Facility Modifier None Typical Low $10.47 Median $12.59 Typical High $13.18 | Facility | None | $10.47 | $12.59 | $13.18 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.76 Typical High $11.48 | Professional | None | $4.47 | $6.76 | $11.48 |
5 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 $4.37 Median $7.59 Typical High $15.85 | Facility | 52 · Reduced service | $4.37 | $7.59 | $15.85 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $3.09 Typical High $6.46 | Facility | 53 · Discontinued | $1.74 | $3.09 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $5.25 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.09 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.09 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $5.25 Median $5.25 Typical High $14.13 | Professional | QW · Waived lab test | $5.25 | $5.25 | $14.13 |
Where Illinois sits
The same service costs 19.5 times more in Minnesota than in Kentucky. 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· 34th of 51
$10.47
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.