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 $7.08 Median $11.22 Typical High $25.70 | Facility | None | $7.08 | $11.22 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $13.18 | Professional | None | $5.62 | $7.08 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $7.76 Typical High $11.75 | Professional | None | $3.31 | $7.76 | $11.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $11.75 Median $19.95 Typical High $95.50 | Facility | None | $11.75 | $19.95 | $95.50 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $6.61 Typical High $8.71 | Professional | None | $3.47 | $6.61 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $17.38 Typical High $35.48 | Facility | None | $9.55 | $17.38 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $9.55 Typical High $12.88 | Professional | None | $4.68 | $9.55 | $12.88 |
Hally Health Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $42.66 | Professional | None | $9.12 | $12.88 | $42.66 |
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 $1.48 Median $2.95 Typical High $2.95 | Professional | None | $1.48 | $2.95 | $2.95 |
United Setting Facility Modifier None Typical Low $8.71 Median $10.23 Typical High $10.72 | Facility | None | $8.71 | $10.23 | $10.72 |
United Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $9.33 | Professional | None | $4.27 | $7.08 | $9.33 |
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 $3.55 Median $6.31 Typical High $12.88 | Facility | 52 · Reduced service | $3.55 | $6.31 | $12.88 |
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 $4.27 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.27 |
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 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $4.27 Median $9.77 Typical High $11.75 | Professional | QW · Waived lab test | $4.27 | $9.77 | $11.75 |
Where Illinois sits
The same service costs 15.8 times more in Minnesota than in Alabama. 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· 30th of 51
$8.32
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.