How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,023.29 Median $3,801.89 Typical High $7,762.47 | Facility | None | $1,023.29 | $3,801.89 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $7,762.47 | Professional | None | $3,801.89 | $3,801.89 | $7,762.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $12,882.50 Median $15,848.93 Typical High $19,952.62 | Facility | None | $12,882.50 | $15,848.93 | $19,952.62 |
BCBS Illinois Setting Professional Modifier None Typical Low $9,549.93 Median $10,964.78 Typical High $10,964.78 | Professional | None | $9,549.93 | $10,964.78 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $15,488.17 Typical High $19,498.45 | Facility | None | $758.58 | $15,488.17 | $19,498.45 |
Hally Health Setting Professional Modifier None Typical Low $812.83 Median $12,589.25 Typical High $19,498.45 | Professional | None | $812.83 | $12,589.25 | $19,498.45 |
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 |
Hally Health Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $14,454.40 | Professional | None | $794.33 | $891.25 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $7,585.78 Typical High $22,908.68 | Facility | None | $1,659.59 | $7,585.78 | $22,908.68 |
United Setting Professional Modifier None Typical Low $10,715.19 Median $15,488.17 Typical High $22,908.68 | Professional | None | $10,715.19 | $15,488.17 | $22,908.68 |
5 more rates 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 52 · Reduced service Typical Low $1,905.46 Median $1,905.46 Typical High $3,090.30 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $1,230.27 | Professional | 53 · Discontinued | $758.58 | $758.58 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $2,884.03 Typical High $4,677.35 | Professional | 54 · Surgery only | $2,884.03 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $933.25 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $616.60 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $616.60 |
Where Illinois sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 22nd of 51
$10,965
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.