How much rates vary
Facilitymedian $1,585 · 10th to 90th $501 to $7,762Professionalmedian $646 · 10th to 90th $490 to $1,047
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 $562.34 Median $1,621.81 Typical High $7,762.47 | Facility | None | $562.34 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $724.44 | Professional | None | $489.78 | $562.34 | $724.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,454.71 Median $5,248.07 Typical High $10,471.29 | Facility | None | $2,454.71 | $5,248.07 | $10,471.29 |
BCBS Illinois Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $776.25 | Professional | None | $549.54 | $660.69 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $2,511.89 | Facility | None | $512.86 | $776.25 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $891.25 | Professional | None | $489.78 | $616.60 | $891.25 |
Hally Health Setting Professional Modifier None Typical Low $446.68 Median $741.31 Typical High $1,698.24 | Professional | None | $446.68 | $741.31 | $1,698.24 |
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 $478.63 Median $575.44 Typical High $645.65 | Professional | None | $478.63 | $575.44 | $645.65 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $7,079.46 | Facility | None | $489.78 | $1,258.93 | $7,079.46 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,071.52 | Professional | None | $489.78 | $691.83 | $1,071.52 |
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 54 · Surgery only Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $371.54 | $416.87 | $416.87 |
Where Illinois sits
The same service costs 14.4 times more in Maine than in Delaware. 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
ME $15,115DE $1,050
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.