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 $45.71 Median $63.10 Typical High $112.20 | Facility | None | $45.71 | $63.10 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | None | $38.90 | $45.71 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $35.48 | Professional | None | $20.89 | $30.20 | $35.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $42.66 Median $48.98 Typical High $588.84 | Facility | None | $42.66 | $48.98 | $588.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $35.48 Typical High $35.48 | Professional | None | $3.47 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $81.28 Typical High $151.36 | Facility | None | $39.81 | $81.28 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $40.74 Typical High $51.29 | Professional | None | $19.50 | $40.74 | $51.29 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | None | $25.12 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $44.67 | Facility | None | $35.48 | $42.66 | $44.67 |
United Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $44.67 | Professional | None | $19.05 | $26.92 | $44.67 |
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 $22.39 Median $38.02 Typical High $83.18 | Facility | 52 · Reduced service | $22.39 | $38.02 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $15.14 Typical High $33.11 | Facility | 53 · Discontinued | $9.12 | $15.14 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $40.74 Typical High $47.86 | Professional | QW · Waived lab test | $17.78 | $40.74 | $47.86 |
Where Illinois sits
The same service costs 4.5 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· 39th of 51
$35.48
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.