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 $11.22 Median $18.62 Typical High $36.31 | Facility | None | $11.22 | $18.62 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $20.89 | Professional | None | $10.72 | $12.02 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $13.49 | Professional | None | $6.76 | $6.76 | $13.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $18.20 Median $44.67 Typical High $181.97 | Facility | None | $18.20 | $44.67 | $181.97 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.72 Typical High $13.49 | Professional | None | $3.47 | $10.72 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $34.67 Typical High $56.23 | Facility | None | $15.14 | $34.67 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $30.20 | Professional | None | $10.72 | $16.60 | $30.20 |
Hally Health Setting Professional Modifier None Typical Low $14.13 Median $23.44 Typical High $151.36 | Professional | None | $14.13 | $23.44 | $151.36 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $16.60 | Professional | None | $7.41 | $7.41 | $16.60 |
United Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $16.60 | Facility | None | $13.49 | $16.22 | $16.60 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $14.45 | Professional | None | $5.62 | $8.51 | $14.45 |
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 $5.50 Median $10.47 Typical High $20.42 | Facility | 52 · Reduced service | $5.50 | $10.47 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $4.17 Typical High $8.13 | Facility | 53 · Discontinued | $2.19 | $4.17 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $6.76 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.69 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.69 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $6.76 Median $6.76 Typical High $18.20 | Professional | QW · Waived lab test | $6.76 | $6.76 | $18.20 |
Where Illinois sits
The same service costs 10.7 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· 33rd of 51
$13.49
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.