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 $54.95 Median $79.43 Typical High $107.15 | Facility | None | $54.95 | $79.43 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | None | $54.95 | $54.95 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $724.44 | Facility | None | $128.82 | $177.83 | $724.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $81.28 | Professional | None | $58.88 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None | $43.65 | $43.65 | $60.26 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $151.36 | Professional | None | $85.11 | $104.71 | $151.36 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | None | $85.11 | $85.11 | $89.13 |
United Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $154.88 | Facility | None | $107.15 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $123.03 | Professional | None | $37.15 | $52.48 | $123.03 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Where Illinois sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 20th of 51
$72.44
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.