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 $208.93 Median $208.93 Typical High $1,023.29 | Professional | None | $208.93 | $208.93 | $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 $346.74 Median $537.03 Typical High $776.25 | Professional | None | $346.74 | $537.03 | $776.25 |
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 $407.38 Median $446.68 Typical High $512.86 | Professional | None | $407.38 | $446.68 | $512.86 |
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 $501.19 Typical High $741.31 | Professional | None | $346.74 | $501.19 | $741.31 |
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 $104.71 Median $104.71 Typical High $173.78 | Professional | 52 · Reduced service | $104.71 | $104.71 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | 53 · Discontinued | $41.69 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $257.04 | Professional | 54 · Surgery only | $158.49 | $158.49 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $51.29 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $34.67 |
Where Illinois sits
The same service costs 15.8 times more in Arkansas than in Maine. 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· 29th of 51
$776
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.