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 $75.86 Median $85.11 Typical High $100.00 | Facility | None | $75.86 | $85.11 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $100.00 | Professional | None | $75.86 | $85.11 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $97.72 | Professional | None | $67.61 | $79.43 | $97.72 |
BCBS Illinois Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $1,348.96 | Facility | None | $213.80 | $295.12 | $1,348.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None | $89.13 | $89.13 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $194.98 | Facility | None | $77.62 | $77.62 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $123.03 | Professional | None | $77.62 | $79.43 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $154.88 | Professional | None | $89.13 | $91.20 | $154.88 |
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 $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
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 $89.13 Median $93.33 Typical High $125.89 | Professional | None | $89.13 | $93.33 | $125.89 |
1 more rate 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 $89.13 Median $104.71 Typical High $109.65 | Professional | AF · Specialist physician | $89.13 | $104.71 | $109.65 |
Where Illinois sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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
$89.13
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.