How much rates vary
Facilitymedian $288 · 10th to 90th $74 to $1,622Professionalmedian $117 · 10th to 90th $65 to $224
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 $58.88 Median $134.90 Typical High $1,905.46 | Facility | None | $58.88 | $134.90 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $97.72 Typical High $204.17 | Professional | None | $57.54 | $97.72 | $204.17 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $151.36 | Professional | None | $63.10 | $74.13 | $151.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $1,122.02 | Facility | None | $257.04 | $309.03 | $1,122.02 |
BCBS Illinois Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $239.88 | Professional | None | $75.86 | $151.36 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $812.83 | Facility | None | $50.12 | $66.07 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $223.87 | Professional | None | $77.62 | $128.82 | $223.87 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $354.81 | Professional | None | $79.43 | $154.88 | $354.81 |
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 $67.61 Median $75.86 Typical High $154.88 | Professional | None | $67.61 | $75.86 | $154.88 |
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 $478.63 Typical High $1,819.70 | Facility | None | $141.25 | $478.63 | $1,819.70 |
United Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $208.93 | Professional | None | $63.10 | $120.23 | $208.93 |
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 $25.70 Median $43.65 Typical High $53.70 | Professional | 52 · Reduced service | $25.70 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $17.78 Typical High $21.38 | Professional | 53 · Discontinued | $10.23 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $66.07 Typical High $79.43 | Professional | 54 · Surgery only | $38.02 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $13.18 Typical High $15.85 | Professional | 55 · Aftercare only | $7.76 | $13.18 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.91 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.13 | $8.91 | $10.72 |
Where Illinois sits
The same service costs 12.9 times more in Colorado 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.
Physician feeFacility fee
CO $2,408ME $187
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.