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 $4.57 Median $6.31 Typical High $15.85 | Facility | None | $4.57 | $6.31 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.94 | Professional | None | $4.57 | $4.57 | $7.94 |
BCBS Illinois Setting Facility Modifier None Typical Low $8.13 Median $15.49 Typical High $33.88 | Facility | None | $8.13 | $15.49 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $9.12 Typical High $10.96 | Facility | None | $6.17 | $9.12 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Hally Health Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $6.92 | Professional | None | $3.72 | $4.68 | $6.92 |
Hally Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $10.23 | Facility | None | $4.57 | $4.57 | $10.23 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.47 | Professional | None | $4.27 | $4.27 | $4.47 |
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 JZ · No drug discarded Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | JZ · No drug discarded | $5.75 | $5.75 | $5.75 |
Where Illinois sits
The same service costs 1.7 times more in Alaska than in Nebraska. 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· 34th of 51
$4.57
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.