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 $52.48 Median $64.57 Typical High $125.89 | Facility | None | $52.48 | $64.57 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $91.20 | Professional | None | $57.54 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $31.62 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $31.62 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $81.28 | Professional | None | $64.57 | $69.18 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $676.08 | Facility | None | $131.83 | $158.49 | $676.08 |
BCBS Illinois Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $95.50 | Professional | None | $50.12 | $72.44 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $141.25 | Professional | None | $79.43 | $104.71 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $162.18 | Professional | None | $75.86 | $104.71 | $162.18 |
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 $91.20 Median $93.33 Typical High $109.65 | Professional | None | $91.20 | $93.33 | $109.65 |
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 $239.88 Median $239.88 Typical High $275.42 | Facility | None | $239.88 | $239.88 | $275.42 |
United Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $144.54 | Professional | None | $75.86 | $91.20 | $144.54 |
2 more rates 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 $60.26 Median $77.62 Typical High $81.28 | Professional | 25 · Same-day visit | $60.26 | $77.62 | $81.28 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | 33 · Preventive service | $81.28 | $81.28 | $109.65 |
Where Illinois sits
The same service costs 2.8 times more in Alaska than in New York. 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
$81.28
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.