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 $13.80 Median $22.91 Typical High $50.12 | Facility | None | $13.80 | $22.91 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $24.55 | Professional | None | $10.96 | $13.49 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $11.48 | Professional | None | $7.08 | $8.32 | $11.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $199.53 | Facility | None | $19.95 | $29.51 | $199.53 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $12.59 Typical High $16.60 | Professional | None | $3.47 | $12.59 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $33.88 Typical High $67.61 | Facility | None | $18.20 | $33.88 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $18.62 Typical High $25.12 | Professional | None | $8.51 | $18.62 | $25.12 |
Hally Health Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $61.66 | Professional | None | $17.38 | $24.55 | $61.66 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $20.89 | Professional | None | $8.32 | $9.12 | $20.89 |
United Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $20.89 | Facility | None | $16.60 | $19.95 | $20.89 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $17.78 | Professional | None | $10.00 | $13.49 | $17.78 |
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 $6.76 Median $12.02 Typical High $25.12 | Facility | 52 · Reduced service | $6.76 | $12.02 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $4.79 Typical High $10.00 | Facility | 53 · Discontinued | $2.69 | $4.79 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $8.32 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.31 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.31 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $6.92 Median $16.22 Typical High $22.39 | Professional | QW · Waived lab test | $6.92 | $16.22 | $22.39 |
Where Illinois sits
The same service costs 5.2 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· 29th of 51
$15.85
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.