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 $30.20 Median $45.71 Typical High $95.50 | Facility | None | $30.20 | $45.71 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $53.70 | Professional | None | $28.18 | $30.20 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $478.63 | Facility | None | $44.67 | $75.86 | $478.63 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $26.92 Typical High $35.48 | Professional | None | $3.47 | $26.92 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $81.28 Typical High $151.36 | Facility | None | $38.90 | $81.28 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $48.98 Typical High $74.13 | Professional | None | $21.88 | $48.98 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $38.90 Median $61.66 Typical High $141.25 | Professional | None | $38.90 | $61.66 | $141.25 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
United Setting Facility Modifier None Typical Low $35.48 Median $41.69 Typical High $43.65 | Facility | None | $35.48 | $41.69 | $43.65 |
United Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $50.12 | Professional | None | $20.89 | $35.48 | $50.12 |
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 $14.45 Median $25.70 Typical High $52.48 | Facility | 52 · Reduced service | $14.45 | $25.70 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $10.23 Typical High $21.38 | Facility | 53 · Discontinued | $5.75 | $10.23 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | 52 · Reduced service | $14.45 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.31 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $26.92 Typical High $47.86 | Professional | QW · Waived lab test | $13.49 | $26.92 | $47.86 |
Where Illinois sits
The same service costs 3.4 times more in Minnesota than in Maryland. 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.