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 $234.42 Median $269.15 Typical High $269.15 | Facility | None | $234.42 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $346.74 | Professional | None | $234.42 | $269.15 | $346.74 |
Aetna Setting Professional Modifier RR · Rental Typical Low $14.45 Median $37.15 Typical High $85.11 | Professional | RR · Rental | $14.45 | $37.15 | $85.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $199.53 Typical High $257.04 | Professional | UE · Used equipment | $173.78 | $199.53 | $257.04 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $38.90 | $38.90 | $38.90 |
BCBS Illinois Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | None | $33.11 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $151.36 | Professional | None | $43.65 | $85.11 | $151.36 |
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 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $112.20 Typical High $131.83 | Professional | None | $33.88 | $112.20 | $131.83 |
United Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $66.07 | Professional | None | $19.50 | $30.90 | $66.07 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $30.90 Typical High $54.95 | Professional | RR · Rental | $22.91 | $30.90 | $54.95 |
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 $72.44 Median $72.44 Typical High $89.13 | Professional | MS · Maintenance fee | $72.44 | $72.44 | $89.13 |
Where Illinois sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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· 40th of 51
$151
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.