How much rates vary
Facilitymedian $288 · 10th to 90th $145 to $2,042Professionalmedian $182 · 10th to 90th $105 to $347
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 $138.04 Median $1,122.02 Typical High $5,623.41 | Facility | None | $138.04 | $1,122.02 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $323.59 | Professional | None | $89.13 | $151.36 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $1,071.52 | Facility | None | $165.96 | $251.19 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $371.54 | Professional | None | $123.03 | $218.78 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $295.12 | Facility | None | $114.82 | $208.93 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $354.81 | Professional | None | $125.89 | $208.93 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $562.34 | Professional | None | $125.89 | $239.88 | $562.34 |
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 $123.03 Typical High $239.88 | Professional | None | $107.15 | $123.03 | $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 $478.63 Typical High $1,819.70 | Facility | None | $141.25 | $478.63 | $1,819.70 |
United Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $331.13 | Professional | None | $102.33 | $190.55 | $331.13 |
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 $41.69 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $41.69 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $16.60 | $27.54 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $104.71 Typical High $123.03 | Professional | 54 · Surgery only | $61.66 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $12.30 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $13.80 Typical High $16.22 | Professional | 56 · Pre-op care only | $8.32 | $13.80 | $16.22 |
Where Illinois sits
The same service costs 11.6 times more in Hawaii 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.
Physician feeFacility fee
HI $3,027MD $261
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.