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 $4,168.69 Median $4,786.30 Typical High $5,128.61 | Facility | None | $4,168.69 | $4,786.30 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $5,888.44 | Professional | None | $4,073.80 | $4,786.30 | $5,888.44 |
Aetna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $616.60 Typical High $758.58 | Professional | RR · Rental | $436.52 | $616.60 | $758.58 |
BCBS Illinois Setting Facility Modifier None Typical Low $47,863.01 Median $104,712.85 Typical High $208,929.61 | Facility | None | $47,863.01 | $104,712.85 | $208,929.61 |
BCBS Illinois Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $891.25 | Professional | None | $575.44 | $575.44 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $5,495.41 Typical High $5,495.41 | Professional | None | $588.84 | $5,495.41 | $5,495.41 |
Cigna Setting Professional Modifier RR · Rental Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $467.74 | $549.54 | $549.54 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $933.25 | Professional | None | $100.00 | $199.53 | $933.25 |
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 $162.18 Median $758.58 Typical High $5,248.07 | Professional | None | $162.18 | $758.58 | $5,248.07 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $6,760.83 | Professional | None | $2,344.23 | $3,090.30 | $6,760.83 |
United Setting Professional Modifier RR · Rental Typical Low $331.13 Median $436.52 Typical High $1,000.00 | Professional | RR · Rental | $331.13 | $436.52 | $1,000.00 |
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 UE · Used equipment Typical Low $3,090.30 Median $3,548.13 Typical High $4,466.84 | Professional | UE · Used equipment | $3,090.30 | $3,548.13 | $4,466.84 |
Where Illinois sits
The same service costs 11.5 times more in Kansas 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.
Illinois· 48th of 51
$2,692
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.