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 $26.92 Median $39.81 Typical High $100.00 | Facility | None | $26.92 | $39.81 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $33.11 | Professional | None | $25.70 | $26.92 | $33.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $363.08 | Facility | None | $28.84 | $47.86 | $363.08 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $25.12 Typical High $33.11 | Professional | None | $3.47 | $25.12 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $66.07 Typical High $134.90 | Facility | None | $37.15 | $66.07 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $37.15 Typical High $48.98 | Professional | None | $15.85 | $37.15 | $48.98 |
Hally Health Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $87.10 | Professional | None | $34.67 | $48.98 | $87.10 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $40.74 | Professional | None | $18.20 | $22.91 | $40.74 |
United Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $40.74 | Facility | None | $33.11 | $38.90 | $40.74 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $34.67 | Professional | None | $13.80 | $19.50 | $34.67 |
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 $13.49 Median $25.70 Typical High $50.12 | Facility | 52 · Reduced service | $13.49 | $25.70 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $10.23 Typical High $19.95 | Facility | 53 · Discontinued | $5.37 | $10.23 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | 52 · Reduced service | $13.49 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.89 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.89 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $12.59 Median $14.79 Typical High $44.67 | Professional | QW · Waived lab test | $12.59 | $14.79 | $44.67 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$27.54
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.