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 $8,128.31 Median $9,332.54 Typical High $11,220.18 | Facility | None | $8,128.31 | $9,332.54 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $8,128.31 Median $9,332.54 Typical High $11,481.54 | Professional | None | $8,128.31 | $9,332.54 | $11,481.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $57,543.99 Median $123,026.88 Typical High $245,470.89 | Facility | None | $57,543.99 | $123,026.88 | $245,470.89 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $10,000.00 Typical High $10,000.00 | Professional | None | $1,174.90 | $10,000.00 | $10,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | RR · Rental | $851.14 | $1,000.00 | $1,000.00 |
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 $630.96 Median $2,089.30 Typical High $7,762.47 | Professional | None | $630.96 | $2,089.30 | $7,762.47 |
United Setting Professional Modifier None Typical Low $3,890.45 Median $5,495.41 Typical High $12,882.50 | Professional | None | $3,890.45 | $5,495.41 | $12,882.50 |
United Setting Professional Modifier RR · Rental Typical Low $489.78 Median $812.83 Typical High $1,905.46 | Professional | RR · Rental | $489.78 | $812.83 | $1,905.46 |
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 $6,165.95 Median $7,079.46 Typical High $8,709.64 | Professional | UE · Used equipment | $6,165.95 | $7,079.46 | $8,709.64 |
Where Illinois sits
The same service costs 10.7 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
$8,913
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.