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 $19.05 Median $32.36 Typical High $66.07 | Facility | None | $19.05 | $32.36 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $28.18 | Professional | None | $19.05 | $19.05 | $28.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $32.36 Median $69.18 Typical High $147.91 | Facility | None | $32.36 | $69.18 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $45.71 | Facility | None | $25.70 | $38.02 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Hally Health Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $44.67 | Professional | None | $17.38 | $21.88 | $44.67 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $42.66 | Facility | None | $19.05 | $19.05 | $42.66 |
United Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | None | $18.20 | $18.20 | $19.05 |
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 + JZ · No drug discarded Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | JW · Drug discarded + JZ · No drug discarded | $25.70 | $25.70 | $25.70 |
Where Illinois sits
The same service costs 6.6 times more in Alabama than in Iowa. 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· 33rd of 51
$19.05
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.