How much rates vary
Facilitymedian $661 · 10th to 90th $45 to $955Professionalmedian $562 · 10th to 90th $45 to $724
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 $660.69 Typical High $954.99 | Facility | None | $44.67 | $660.69 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $831.76 | Professional | None | $41.69 | $44.67 | $831.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $724.44 | Professional | None | $549.54 | $602.56 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $891.25 | Professional | None | $436.52 | $660.69 | $891.25 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $645.65 Typical High $870.96 | Professional | None | $309.03 | $645.65 | $870.96 |
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 $457.09 Median $457.09 Typical High $537.03 | Professional | None | $457.09 | $457.09 | $537.03 |
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 $239.88 Median $269.15 Typical High $407.38 | Professional | QK · Directing 2–4 cases | $239.88 | $269.15 | $407.38 |