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 $1.95 Median $3.09 Typical High $7.08 | Facility | None | $1.95 | $3.09 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $2.19 Typical High $3.80 | Professional | None | $1.95 | $2.19 | $3.80 |
Ambetter Setting Professional Modifier None Typical Low $1.07 Median $1.91 Typical High $3.02 | Professional | None | $1.07 | $1.91 | $3.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $3.16 Median $7.94 Typical High $30.90 | Facility | None | $3.16 | $7.94 | $30.90 |
BCBS Illinois Setting Professional Modifier None Typical Low $1.82 Median $2.34 Typical High $3.47 | Professional | None | $1.82 | $2.34 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $5.50 Typical High $9.55 | Facility | None | $2.57 | $5.50 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.70 Median $2.69 Typical High $4.17 | Professional | None | $1.70 | $2.69 | $4.17 |
Hally Health Setting Professional Modifier None Typical Low $2.51 Median $4.17 Typical High $25.70 | Professional | None | $2.51 | $4.17 | $25.70 |
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 $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Molina Setting Professional Modifier None Typical Low $1.29 Median $1.66 Typical High $2.95 | Professional | None | $1.29 | $1.66 | $2.95 |
United Setting Facility Modifier None Typical Low $2.34 Median $2.82 Typical High $6.03 | Facility | None | $2.34 | $2.82 | $6.03 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $2.95 | Professional | None | $1.41 | $2.34 | $2.95 |
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 $0.98 Median $1.74 Typical High $3.55 | Facility | 52 · Reduced service | $0.98 | $1.74 | $3.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.39 Median $0.69 Typical High $1.45 | Facility | 53 · Discontinued | $0.39 | $0.69 | $1.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.98 Median $0.98 Typical High $1.20 | Professional | 52 · Reduced service | $0.98 | $0.98 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.39 Typical High $0.47 | Professional | 53 · Discontinued | $0.39 | $0.39 | $0.47 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.07 Median $2.29 Typical High $3.24 | Professional | QW · Waived lab test | $1.07 | $2.29 | $3.24 |
Where Illinois sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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· 27th of 51
$2.69
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.