How much rates vary
Facilitymedian $2,239 · 10th to 90th $851 to $5,888Professionalmedian $955 · 10th to 90th $631 to $1,514
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 $630.96 Median $1,659.59 Typical High $5,888.44 | Facility | None | $630.96 | $1,659.59 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,318.26 | Professional | None | $616.60 | $776.25 | $1,318.26 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $7,413.10 | Facility | None | $1,698.24 | $2,630.27 | $7,413.10 |
BCBS Illinois Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,513.56 | Professional | None | $758.58 | $1,071.52 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $2,570.40 | Facility | None | $741.31 | $2,041.74 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,479.11 | Professional | None | $588.84 | $933.25 | $1,479.11 |
Hally Health Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,905.46 | Professional | None | $741.31 | $1,148.15 | $1,905.46 |
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 $794.33 Median $851.14 Typical High $1,148.15 | Professional | None | $794.33 | $851.14 | $1,148.15 |
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 $1,047.13 Median $2,454.71 Typical High $5,888.44 | Facility | None | $1,047.13 | $2,454.71 | $5,888.44 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,548.82 | Professional | None | $645.65 | $954.99 | $1,548.82 |
6 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 $281.84 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $281.84 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $141.25 Typical High $158.49 | Professional | 53 · Discontinued | $114.82 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $524.81 Typical High $588.84 | Professional | 54 · Surgery only | $426.58 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $117.49 | Professional | 55 · Aftercare only | $85.11 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $70.79 Typical High $77.62 | Professional | 56 · Pre-op care only | $56.23 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $489.78 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $398.11 | $489.78 | $549.54 |
Where Illinois sits
The same service costs 3.1 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.
Physician feeFacility fee
AK $5,990MD $1,938
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.