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 $87.10 Median $1,202.26 Typical High $7,762.47 | Facility | None | $87.10 | $1,202.26 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $144.54 Typical High $257.04 | Professional | None | $83.18 | $144.54 | $257.04 |
BCBS Illinois Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $1,047.13 | Facility | None | $177.83 | $302.00 | $1,047.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $95.50 Median $177.83 Typical High $302.00 | Professional | None | $95.50 | $177.83 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $380.19 | Facility | None | $120.23 | $223.87 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $288.40 | Professional | None | $100.00 | $147.91 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $363.08 | Professional | None | $117.49 | $229.09 | $363.08 |
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 $112.20 Median $120.23 Typical High $239.88 | Professional | None | $112.20 | $120.23 | $239.88 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $141.25 Median $501.19 Typical High $1,819.70 | Facility | None | $141.25 | $501.19 | $1,819.70 |
United Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $323.59 | Professional | None | $97.72 | $169.82 | $323.59 |
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 $40.74 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $40.74 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $16.22 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $104.71 Typical High $125.89 | Professional | 54 · Surgery only | $60.26 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $20.89 Typical High $25.12 | Professional | 55 · Aftercare only | $12.30 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $13.80 Typical High $16.60 | Professional | 56 · Pre-op care only | $8.13 | $13.80 | $16.60 |
Where Illinois sits
The same service costs 3.3 times more in Alaska than in Maryland. 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
$170
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.