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 $8,912.51 Median $10,471.29 Typical High $12,302.69 | Facility | None | $8,912.51 | $10,471.29 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $8,912.51 Median $10,471.29 Typical High $12,589.25 | Professional | None | $8,912.51 | $10,471.29 | $12,589.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $64,565.42 Median $138,038.43 Typical High $275,422.87 | Facility | None | $64,565.42 | $138,038.43 | $275,422.87 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $11,220.18 Typical High $11,220.18 | Professional | None | $1,288.25 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $954.99 | $1,122.02 | $1,122.02 |
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 $389.05 Median $1,288.25 Typical High $8,317.64 | Professional | None | $389.05 | $1,288.25 | $8,317.64 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $6,025.60 Typical High $14,125.38 | Professional | None | $4,265.80 | $6,025.60 | $14,125.38 |
United Setting Professional Modifier RR · Rental Typical Low $549.54 Median $891.25 Typical High $2,137.96 | Professional | RR · Rental | $549.54 | $891.25 | $2,137.96 |
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 $6,760.83 Median $7,762.47 Typical High $9,549.93 | Professional | UE · Used equipment | $6,760.83 | $7,762.47 | $9,549.93 |
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· 49th of 51
$6,026
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.