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 $11.48 Median $21.38 Typical High $41.69 | Facility | None | $11.48 | $21.38 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $16.60 | Professional | None | $10.96 | $11.48 | $16.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.60 Median $25.70 Typical High $131.83 | Facility | None | $16.60 | $25.70 | $131.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $10.72 Typical High $13.80 | Professional | None | $3.47 | $10.72 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $30.20 Typical High $57.54 | Facility | None | $15.49 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.22 Typical High $21.38 | Professional | None | $8.51 | $16.22 | $21.38 |
Hally Health Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $52.48 | Professional | None | $14.45 | $23.44 | $52.48 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $17.38 | Professional | None | $9.77 | $9.77 | $17.38 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $17.38 | Facility | None | $13.80 | $16.60 | $17.38 |
United Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $15.14 | Professional | None | $5.89 | $9.33 | $15.14 |
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 $5.75 Median $10.00 Typical High $20.89 | Facility | 52 · Reduced service | $5.75 | $10.00 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.07 Typical High $8.51 | Facility | 53 · Discontinued | $2.29 | $4.07 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.75 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | QW · Waived lab test | $18.62 | $18.62 | $18.62 |
Where Illinois sits
The same service costs 3.3 times more in Kansas 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· 29th of 51
$12.88
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.