How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $60.26 Typical High $114.82 | Facility | None | $50.12 | $60.26 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $83.18 | Professional | None | $51.29 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $25.12 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $120.23 | Professional | None | $51.29 | $75.86 | $120.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $645.65 | Facility | None | $147.91 | $323.59 | $645.65 |
BCBS Illinois Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $85.11 | Professional | None | $39.81 | $70.79 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $128.82 | Professional | None | $69.18 | $95.50 | $128.82 |
Hally Health Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $208.93 | Professional | None | $69.18 | $93.33 | $208.93 |
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 $85.11 Median $89.13 Typical High $95.50 | Professional | None | $85.11 | $89.13 | $95.50 |
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 Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $131.83 | Professional | None | $67.61 | $83.18 | $131.83 |
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 $77.62 Median $77.62 Typical High $91.20 | Professional | 25 · Same-day visit | $77.62 | $77.62 | $91.20 |
Where Illinois sits
The same service costs 3.0 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· 26th of 51
$75.86
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.