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 $5.13 Median $9.77 Typical High $19.05 | Facility | None | $5.13 | $9.77 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.37 Typical High $9.55 | Professional | None | $5.13 | $5.37 | $9.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $33.11 | Facility | None | $6.17 | $6.17 | $33.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $4.79 Typical High $6.17 | Professional | None | $3.47 | $4.79 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $12.30 Typical High $25.70 | Facility | None | $6.92 | $12.30 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $6.76 Typical High $9.33 | Professional | None | $3.24 | $6.76 | $9.33 |
Hally Health Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $38.90 | Professional | None | $6.61 | $9.33 | $38.90 |
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 $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $7.76 | Professional | None | $3.47 | $3.47 | $7.76 |
United Setting Facility Modifier None Typical Low $6.17 Median $7.41 Typical High $7.76 | Facility | None | $6.17 | $7.41 | $7.76 |
United Setting Professional Modifier None Typical Low $3.09 Median $5.13 Typical High $6.76 | Professional | None | $3.09 | $5.13 | $6.76 |
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 $2.57 Median $4.47 Typical High $9.33 | Facility | 52 · Reduced service | $2.57 | $4.47 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.02 Median $1.82 Typical High $3.80 | Facility | 53 · Discontinued | $1.02 | $1.82 | $3.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.57 Typical High $3.09 | Professional | 52 · Reduced service | $2.57 | $2.57 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.26 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.26 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $3.72 Median $6.03 Typical High $7.08 | Professional | QW · Waived lab test | $3.72 | $6.03 | $7.08 |
Where Illinois sits
The same service costs 3.5 times more in Alaska 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· 25th of 51
$6.17
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.