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 $380.19 Median $1,548.82 Typical High $5,623.41 | Facility | None | $380.19 | $1,548.82 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $389.05 | Professional | None | $275.42 | $309.03 | $389.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $1,071.52 | Facility | None | $588.84 | $812.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $933.25 | Facility | None | $512.86 | $741.31 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $691.83 | Professional | None | $363.08 | $562.34 | $691.83 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $1,288.25 Typical High $1,659.59 | Professional | None | $151.36 | $1,288.25 | $1,659.59 |
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 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $2,951.21 | Facility | None | $446.68 | $1,047.13 | $2,951.21 |
United Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $758.58 | Professional | None | $338.84 | $537.03 | $758.58 |
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 $138.04 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $208.93 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $41.69 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $27.54 | $30.90 | $30.90 |
Where Illinois sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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
$575
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.