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 $8,709.64 Median $10,000.00 Typical High $11,748.98 | Facility | None | $8,709.64 | $10,000.00 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $8,709.64 Median $10,000.00 Typical High $12,302.69 | Professional | None | $8,709.64 | $10,000.00 | $12,302.69 |
BCBS Illinois Setting Facility Modifier None Typical Low $61,659.50 Median $131,825.67 Typical High $263,026.80 | Facility | None | $61,659.50 | $131,825.67 | $263,026.80 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $10,715.19 Typical High $10,715.19 | Professional | None | $1,230.27 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | RR · Rental | $912.01 | $1,071.52 | $1,071.52 |
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 $371.54 Median $1,230.27 Typical High $7,943.28 | Professional | None | $371.54 | $1,230.27 | $7,943.28 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $13,489.63 | Professional | None | $4,073.80 | $5,754.40 | $13,489.63 |
United Setting Professional Modifier RR · Rental Typical Low $524.81 Median $851.14 Typical High $2,041.74 | Professional | RR · Rental | $524.81 | $851.14 | $2,041.74 |
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 $6,456.54 Median $7,413.10 Typical High $9,120.11 | Professional | UE · Used equipment | $6,456.54 | $7,413.10 | $9,120.11 |
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· 17th of 51
$9,550
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.