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 $61.66 Median $102.33 Typical High $213.80 | Facility | None | $61.66 | $102.33 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $104.71 | Professional | None | $64.57 | $67.61 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $72.44 | Professional | None | $57.54 | $63.10 | $72.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $1,202.26 | Facility | None | $104.71 | $245.47 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $128.82 | Professional | None | $97.72 | $117.49 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $223.87 Typical High $309.03 | Facility | None | $102.33 | $223.87 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $104.71 | Professional | None | $74.13 | $95.50 | $104.71 |
Hally Health Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $257.04 | Professional | None | $60.26 | $83.18 | $257.04 |
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 $70.79 Median $72.44 Typical High $79.43 | Professional | None | $70.79 | $72.44 | $79.43 |
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 $169.82 Median $169.82 Typical High $194.98 | Facility | None | $169.82 | $169.82 | $194.98 |
United Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $123.03 | Professional | None | $66.07 | $83.18 | $123.03 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 59 · Distinct service | $57.54 | $57.54 | $57.54 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 16th of 51
$97.72
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.