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 $18.20 Median $25.70 Typical High $229.09 | Facility | None | $18.20 | $25.70 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $213.80 | Facility | None | $47.86 | $57.54 | $213.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $22.91 | Professional | None | $16.22 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $57.54 Typical High $72.44 | Professional | None | $19.05 | $57.54 | $72.44 |
Hally Health Setting Professional Modifier None Typical Low $14.13 Median $60.26 Typical High $93.33 | Professional | None | $14.13 | $60.26 | $93.33 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $42.66 | Professional | None | $18.62 | $25.12 | $42.66 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | HN · Bachelor's level | $7.08 | $7.76 | $7.76 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $9.12 Typical High $9.12 | Professional | HO · Master's level | $8.32 | $9.12 | $9.12 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $9.12 Typical High $9.12 | Professional | HP · Doctoral level | $8.32 | $9.12 | $9.12 |
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 U3 · State-defined Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | U3 · State-defined | $23.99 | $23.99 | $23.99 |
Where Illinois sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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
$18.20
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.