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 $52.48 Median $69.18 Typical High $112.20 | Facility | None | $52.48 | $69.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $79.43 | Professional | None | $52.48 | $63.10 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $87.10 | Professional | None | $58.88 | $66.07 | $87.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $1,071.52 | Facility | None | $154.88 | $257.04 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $97.72 | Professional | None | $67.61 | $70.79 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $87.10 | Professional | None | $46.77 | $50.12 | $87.10 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | None | $61.66 | $72.44 | $117.49 |
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 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $147.91 | Professional | None | $33.11 | $58.88 | $147.91 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $478.63 | Facility | None | $416.87 | $416.87 | $478.63 |
United Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $79.43 | Professional | None | $53.70 | $58.88 | $79.43 |
4 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 Professional Modifier AF · Specialist physician Typical Low $44.67 Median $70.79 Typical High $77.62 | Professional | AF · Specialist physician | $44.67 | $70.79 | $77.62 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $64.57 Median $66.07 Typical High $95.50 | Professional | 93 · Audio-only telehealth | $64.57 | $66.07 | $95.50 |
Ambetter Setting Professional Modifier FQ · Audio-only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | FQ · Audio-only | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | HO · Master's level | $64.57 | $64.57 | $64.57 |
Where Illinois sits
The same service costs 1.9 times more in North Dakota 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· 18th of 51
$67.61
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.