How much rates vary
Facilitymedian $1,738 · 10th to 90th $759 to $5,623Professionalmedian $501 · 10th to 90th $398 to $832
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 $512.86 Median $1,202.26 Typical High $5,623.41 | Facility | None | $512.86 | $1,202.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $676.08 | Professional | None | $389.05 | $436.52 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $478.63 | Professional | None | $446.68 | $446.68 | $478.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $5,623.41 | Facility | None | $1,122.02 | $1,819.70 | $5,623.41 |
BCBS Illinois Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $851.14 | Professional | None | $524.81 | $707.95 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $1,995.26 | Facility | None | $891.25 | $1,412.54 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $741.31 | Professional | None | $436.52 | $489.78 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,548.82 | Professional | None | $457.09 | $691.83 | $1,548.82 |
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 $489.78 Median $537.03 Typical High $602.56 | Professional | None | $489.78 | $537.03 | $602.56 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $588.84 | Professional | None | $33.11 | $33.11 | $588.84 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $5,888.44 | Facility | None | $1,047.13 | $2,398.83 | $5,888.44 |
United Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $851.14 | Professional | None | $389.05 | $478.63 | $851.14 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $275.42 | $302.00 | $302.00 |
Where Illinois sits
The same service costs 3.7 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $5,160MT $1,384
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.