How much rates vary
Facilitymedian $275 · 10th to 90th $45 to $398Professionalmedian $229 · 10th to 90th $45 to $302
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 $275.42 Typical High $398.11 | Facility | None | $44.67 | $275.42 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $346.74 | Professional | None | $41.69 | $44.67 | $346.74 |
BCBS Illinois Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $302.00 | Professional | None | $229.09 | $251.19 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $323.59 | Professional | None | $158.49 | $239.88 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $363.08 | Professional | None | $141.25 | $269.15 | $363.08 |
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 $190.55 Median $190.55 Typical High $223.87 | Professional | None | $190.55 | $190.55 | $223.87 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | None | $42.66 | $54.95 | $77.62 |
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 QK · Directing 2–4 cases Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | QK · Directing 2–4 cases | $302.00 | $302.00 | $302.00 |