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 $22.39 Median $24.55 Typical High $33.11 | Facility | None | $22.39 | $24.55 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $38.02 | Professional | None | $20.89 | $25.70 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $27.54 | Professional | None | $25.12 | $26.30 | $27.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $331.13 | Facility | None | $51.29 | $72.44 | $331.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $35.48 | Professional | None | $25.12 | $28.84 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $45.71 | Professional | None | $22.39 | $26.92 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $74.13 | Professional | None | $25.12 | $34.67 | $74.13 |
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 $29.51 Median $30.90 Typical High $36.31 | Professional | None | $29.51 | $30.90 | $36.31 |
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 $24.55 Median $28.84 Typical High $47.86 | Professional | None | $24.55 | $28.84 | $47.86 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 25 · Same-day visit | $27.54 | $27.54 | $27.54 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 28th of 51
$27.54
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.