How much rates vary
Facilitymedian $437 · 10th to 90th $45 to $646Professionalmedian $363 · 10th to 90th $45 to $479
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 $436.52 Typical High $645.65 | Facility | None | $44.67 | $436.52 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $549.54 | Professional | None | $41.69 | $44.67 | $549.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $478.63 | Professional | None | $363.08 | $407.38 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $575.44 | Professional | None | $281.84 | $416.87 | $575.44 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $575.44 | Professional | None | $204.17 | $426.58 | $575.44 |
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 $309.03 Median $309.03 Typical High $363.08 | Professional | None | $309.03 | $309.03 | $363.08 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | QK · Directing 2–4 cases | $95.50 | $95.50 | $95.50 |