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 $3.02 Median $5.13 Typical High $10.47 | Facility | None | $3.02 | $5.13 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.02 Typical High $5.37 | Professional | None | $2.82 | $3.02 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $1.58 Median $2.45 Typical High $4.68 | Professional | None | $1.58 | $2.45 | $4.68 |
BCBS Illinois Setting Facility Modifier None Typical Low $4.68 Median $7.94 Typical High $36.31 | Facility | None | $4.68 | $7.94 | $36.31 |
BCBS Illinois Setting Professional Modifier None Typical Low $2.69 Median $3.39 Typical High $3.47 | Professional | None | $2.69 | $3.39 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $7.24 Typical High $15.14 | Facility | None | $4.07 | $7.24 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $4.07 Typical High $5.25 | Professional | None | $1.78 | $4.07 | $5.25 |
Hally Health Setting Professional Modifier None Typical Low $3.63 Median $5.25 Typical High $23.44 | Professional | None | $3.63 | $5.25 | $23.44 |
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 $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Molina Setting Professional Modifier None Typical Low $0.63 Median $1.26 Typical High $1.26 | Professional | None | $0.63 | $1.26 | $1.26 |
United Setting Facility Modifier None Typical Low $3.47 Median $4.17 Typical High $4.37 | Facility | None | $3.47 | $4.17 | $4.37 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.82 Typical High $3.72 | Professional | None | $2.09 | $2.82 | $3.72 |
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 $1.45 Median $2.51 Typical High $5.25 | Facility | 52 · Reduced service | $1.45 | $2.51 | $5.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.56 Median $1.00 Typical High $2.09 | Facility | 53 · Discontinued | $0.56 | $1.00 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.45 Typical High $1.74 | Professional | 52 · Reduced service | $1.45 | $1.45 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.71 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.71 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $3.47 Median $3.98 Typical High $4.68 | Professional | QW · Waived lab test | $3.47 | $3.98 | $4.68 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 26th of 51
$3.47
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.