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 $37.15 Median $40.74 Typical High $151.36 | Facility | None | $37.15 | $40.74 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | None | $40.74 | $40.74 | $43.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $85.11 Median $123.03 Typical High $263.03 | Facility | None | $85.11 | $123.03 | $263.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $81.28 Typical High $97.72 | Facility | None | $54.95 | $81.28 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | None | $40.74 | $40.74 | $42.66 |
Hally Health Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $199.53 | Professional | None | $40.74 | $58.88 | $199.53 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | None | $39.81 | $39.81 | $60.26 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | JZ · No drug discarded | $39.81 | $39.81 | $39.81 |
Where Illinois sits
Rates are fairly even across states for this service. 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· 46th of 51
$40.74
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.