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 $5,248.07 Median $6,025.60 Typical High $7,244.36 | Facility | None | $5,248.07 | $6,025.60 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $5,248.07 Median $6,025.60 Typical High $7,413.10 | Professional | None | $5,248.07 | $6,025.60 | $7,413.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $37,153.52 Median $79,432.82 Typical High $162,181.01 | Facility | None | $37,153.52 | $79,432.82 | $162,181.01 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $6,606.93 Typical High $6,606.93 | Professional | None | $758.58 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $549.54 | $660.69 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $199.53 | Professional | None | $100.00 | $100.00 | $199.53 |
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 $229.09 Median $758.58 Typical High $4,897.79 | Professional | None | $229.09 | $758.58 | $4,897.79 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $8,317.64 | Professional | None | $2,511.89 | $3,548.13 | $8,317.64 |
United Setting Professional Modifier RR · Rental Typical Low $323.59 Median $524.81 Typical High $1,258.93 | Professional | RR · Rental | $323.59 | $524.81 | $1,258.93 |
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 $3,981.07 Median $4,570.88 Typical High $5,623.41 | Professional | UE · Used equipment | $3,981.07 | $4,570.88 | $5,623.41 |
Where Illinois sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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· 19th of 51
$5,754
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.