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 $43.65 Median $52.48 Typical High $63.10 | Facility | None | $43.65 | $52.48 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $61.66 | Professional | None | $43.65 | $50.12 | $61.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $147.91 Median $288.40 Typical High $1,122.02 | Facility | None | $147.91 | $288.40 | $1,122.02 |
BCBS Illinois Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $69.18 | Professional | None | $43.65 | $56.23 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $109.65 | Professional | None | $54.95 | $72.44 | $109.65 |
Hally Health Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $100.00 | Professional | None | $53.70 | $60.26 | $100.00 |
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 $100.00 Median $100.00 Typical High $107.15 | Professional | None | $100.00 | $100.00 | $107.15 |
United Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $72.44 | Professional | None | $50.12 | $60.26 | $72.44 |
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 U1 · State-defined Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | U1 · State-defined | $56.23 | $56.23 | $56.23 |
Where Illinois sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 46th of 51
$52.48
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.