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 $87.10 Median $89.13 Typical High $181.97 | Facility | None | $87.10 | $89.13 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $138.04 | Professional | None | $85.11 | $87.10 | $138.04 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $1,174.90 | Facility | None | $208.93 | $288.40 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $131.83 | Professional | None | $97.72 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $257.04 | Professional | None | $144.54 | $181.97 | $257.04 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $141.25 | Professional | None | $97.72 | $97.72 | $141.25 |
United Setting Facility Modifier None Typical Low $72.44 Median $173.78 Typical High $234.42 | Facility | None | $72.44 | $173.78 | $234.42 |
United Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $199.53 | Professional | None | $64.57 | $85.11 | $199.53 |
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 KX · Policy requirements met Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | KX · Policy requirements met | $131.83 | $131.83 | $131.83 |
Where Illinois sits
The same service costs 2.4 times more in Hawaii 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· 18th of 51
$115
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.