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 $660.69 Median $3,235.94 Typical High $7,762.47 | Facility | None | $660.69 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $1,023.29 | Professional | None | $251.19 | $251.19 | $1,023.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $11,481.54 Median $14,125.38 Typical High $17,782.79 | Facility | None | $11,481.54 | $14,125.38 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $13,489.63 Typical High $16,982.44 | Facility | None | $758.58 | $13,489.63 | $16,982.44 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $891.25 | Professional | None | $398.11 | $616.60 | $891.25 |
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 $467.74 Median $512.86 Typical High $575.44 | Professional | None | $467.74 | $512.86 | $575.44 |
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 $346.74 Median $489.78 Typical High $724.44 | Professional | None | $346.74 | $489.78 | $724.44 |
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 $125.89 Median $125.89 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $50.12 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | 54 · Surgery only | $186.21 | $186.21 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $38.90 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $38.90 |
Where Illinois sits
The same service costs 16.2 times more in Arkansas than in West Virginia. 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· 27th of 51
$794
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.