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 $0.71 Median $0.83 Typical High $1.41 | Facility | None | $0.71 | $0.83 | $1.41 |
Aetna Setting Professional Modifier None Typical Low $0.72 Median $0.83 Typical High $1.48 | Professional | None | $0.72 | $0.83 | $1.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.13 Typical High $0.19 | Professional | 55 · Aftercare only | $0.11 | $0.13 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.08 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.07 | $0.08 | $0.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $70.79 | Facility | None | $20.89 | $30.90 | $70.79 |
BCBS Illinois Setting Professional Modifier None Typical Low $1.07 Median $1.07 Typical High $7.76 | Professional | None | $1.07 | $1.07 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Hally Health Setting Professional Modifier None Typical Low $1.29 Median $2.00 Typical High $20.89 | Professional | None | $1.29 | $2.00 | $20.89 |
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 $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
United Setting Professional Modifier None Typical Low $0.85 Median $1.41 Typical High $10.23 | Professional | None | $0.85 | $1.41 | $10.23 |
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 KS · Glucose supply, no insulin Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | KS · Glucose supply, no insulin | $1.12 | $1.12 | $1.12 |
Where Illinois sits
The same service costs 7.4 times more in Kentucky than in Delaware. 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· 40th of 51
$1.07
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.