How much rates vary
Facilitymedian $363 · 10th to 90th $45 to $479Professionalmedian $275 · 10th to 90th $45 to $355
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 $363.08 Typical High $478.63 | Facility | None | $44.67 | $363.08 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $416.87 | Professional | None | $41.69 | $44.67 | $416.87 |
BCBS Illinois Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $354.81 | Professional | None | $275.42 | $302.00 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $407.38 | Professional | None | $199.53 | $302.00 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $436.52 | Professional | None | $158.49 | $323.59 | $436.52 |
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 $229.09 Median $229.09 Typical High $269.15 | Professional | None | $229.09 | $229.09 | $269.15 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | QK · Directing 2–4 cases | $190.55 | $190.55 | $190.55 |