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 $3,311.31 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,311.31 | $3,801.89 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,235.94 | $3,801.89 | $4,677.35 |
BCBS Illinois Setting Facility Modifier None Typical Low $38,904.51 Median $83,176.38 Typical High $165,958.69 | Facility | None | $38,904.51 | $83,176.38 | $165,958.69 |
BCBS Illinois Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $741.31 | Professional | None | $446.68 | $446.68 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $4,265.80 Typical High $4,265.80 | Professional | None | $457.09 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $363.08 | $426.58 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $758.58 | Professional | None | $100.00 | $199.53 | $758.58 |
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 $416.87 Median $2,818.38 Typical High $4,265.80 | Professional | None | $416.87 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $5,370.32 | Professional | None | $1,862.09 | $2,511.89 | $5,370.32 |
United Setting Professional Modifier RR · Rental Typical Low $275.42 Median $354.81 Typical High $812.83 | Professional | RR · Rental | $275.42 | $354.81 | $812.83 |
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 $2,454.71 Median $2,884.03 Typical High $3,548.13 | Professional | UE · Used equipment | $2,454.71 | $2,884.03 | $3,548.13 |
Where Illinois sits
The same service costs 11.0 times more in Kansas 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
$741
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.