How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,951.21 Median $3,467.37 Typical High $3,715.35 | Facility | None | $2,951.21 | $3,467.37 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $3,090.30 Typical High $3,467.37 | Professional | None | $2,238.72 | $3,090.30 | $3,467.37 |
Aetna Setting Professional Modifier RR · Rental Typical Low $371.54 Median $512.86 Typical High $549.54 | Professional | RR · Rental | $371.54 | $512.86 | $549.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,737.80 Median $2,398.83 Typical High $2,630.27 | Professional | UE · Used equipment | $1,737.80 | $2,398.83 | $2,630.27 |
BCBS Illinois Setting Facility Modifier None Typical Low $13,182.57 Median $28,183.83 Typical High $56,234.13 | Facility | None | $13,182.57 | $28,183.83 | $56,234.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $588.84 | Professional | None | $467.74 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $1,047.13 | Professional | None | $354.81 | $575.44 | $1,047.13 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $4,677.35 | Professional | None | $1,819.70 | $2,754.23 | $4,677.35 |
United Setting Professional Modifier RR · Rental Typical Low $302.00 Median $446.68 Typical High $776.25 | Professional | RR · Rental | $302.00 | $446.68 | $776.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $2,089.30 Typical High $3,715.35 | Professional | UE · Used equipment | $1,445.44 | $2,089.30 | $3,715.35 |
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 MS · Maintenance fee Typical Low $186.21 Median $251.19 Typical High $275.42 | Professional | MS · Maintenance fee | $186.21 | $251.19 | $275.42 |
Where Illinois sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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.
Illinois· 51st of 51
$1,175
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.