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 $10.96 Median $16.22 Typical High $26.30 | Facility | None | $10.96 | $16.22 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $19.50 | Professional | None | $10.72 | $13.80 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $19.50 | Professional | None | $10.72 | $14.45 | $19.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $30.20 Median $53.70 Typical High $151.36 | Facility | None | $30.20 | $53.70 | $151.36 |
BCBS Illinois Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $18.62 | Professional | None | $12.59 | $14.79 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $22.91 | Professional | None | $11.22 | $13.49 | $22.91 |
Hally Health Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $35.48 | Professional | None | $12.30 | $17.38 | $35.48 |
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 $14.13 Median $14.79 Typical High $19.05 | Professional | None | $14.13 | $14.79 | $19.05 |
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 $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $23.99 | Professional | None | $12.02 | $14.45 | $23.99 |
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 25 · Same-day visit Typical Low $14.45 Median $14.79 Typical High $19.50 | Professional | 25 · Same-day visit | $14.45 | $14.79 | $19.50 |
Where Illinois sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 32nd of 51
$13.80
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.