How much rates vary
Facilitymedian $389 · 10th to 90th $45 to $562Professionalmedian $324 · 10th to 90th $45 to $417
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 $44.67 Median $389.05 Typical High $562.34 | Facility | None | $44.67 | $389.05 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $489.78 | Professional | None | $41.69 | $44.67 | $489.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $416.87 | Professional | None | $316.23 | $354.81 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $489.78 | Professional | None | $239.88 | $363.08 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $501.19 | Professional | None | $186.21 | $371.54 | $501.19 |
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 $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | None | $42.66 | $54.95 | $77.62 |
2 more rates 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 AA · Anesthesiologist Typical Low $173.78 Median $331.13 Typical High $512.86 | Professional | AA · Anesthesiologist | $173.78 | $331.13 | $512.86 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $87.10 Median $213.80 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $87.10 | $213.80 | $309.03 |