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 $134.90 Median $1,318.26 Typical High $5,623.41 | Facility | None | $134.90 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $223.87 | Professional | None | $81.28 | $128.82 | $223.87 |
BCBS Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $1,230.27 | Facility | None | $120.23 | $190.55 | $1,230.27 |
BCBS Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $257.04 | Professional | None | $104.71 | $162.18 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $512.86 | Facility | None | $112.20 | $158.49 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $251.19 | Professional | None | $107.15 | $151.36 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $346.74 | Professional | None | $117.49 | $190.55 | $346.74 |
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 $107.15 Median $117.49 Typical High $194.98 | Professional | None | $107.15 | $117.49 | $194.98 |
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 $446.68 Median $1,047.13 Typical High $3,019.95 | Facility | None | $446.68 | $1,047.13 | $3,019.95 |
United Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $263.03 | Professional | None | $97.72 | $154.88 | $263.03 |
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 $39.81 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $39.81 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $15.85 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $91.20 Typical High $102.33 | Professional | 54 · Surgery only | $60.26 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $18.20 Typical High $20.42 | Professional | 55 · Aftercare only | $12.02 | $18.20 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $12.02 Typical High $13.49 | Professional | 56 · Pre-op care only | $7.94 | $12.02 | $13.49 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$155
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.