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 $1.78 Median $2.51 Typical High $3.16 | Facility | None | $1.78 | $2.51 | $3.16 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.82 | Professional | None | $1.78 | $1.78 | $1.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $4.79 Median $6.76 Typical High $14.13 | Facility | None | $4.79 | $6.76 | $14.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $3.55 Typical High $4.27 | Facility | None | $2.40 | $3.55 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Hally Health Setting Professional Modifier None Typical Low $1.74 Median $2.45 Typical High $7.76 | Professional | None | $1.74 | $2.45 | $7.76 |
Hally Health Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $2.75 | Professional | None | $1.78 | $1.78 | $2.75 |
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 JW · Drug discarded Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | JW · Drug discarded | $3.55 | $3.55 | $3.55 |
Where Illinois sits
The same service costs 3.0 times more in Wyoming than in Washington, DC. 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· 5th of 51
$2.51
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.