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 $107.15 Median $275.42 Typical High $4,786.30 | Facility | None | $107.15 | $275.42 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $234.42 | Professional | None | $85.11 | $134.90 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $1,288.25 | Facility | None | $144.54 | $229.09 | $1,288.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $275.42 | Professional | None | $104.71 | $173.78 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $190.55 Typical High $812.83 | Facility | None | $134.90 | $190.55 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $263.03 | Professional | None | $107.15 | $169.82 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $354.81 | Professional | None | $117.49 | $208.93 | $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 $112.20 Median $117.49 Typical High $208.93 | Professional | None | $112.20 | $117.49 | $208.93 |
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 $676.08 Median $1,513.56 Typical High $3,981.07 | Facility | None | $676.08 | $1,513.56 | $3,981.07 |
United Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $288.40 | Professional | None | $102.33 | $169.82 | $288.40 |
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 $63.10 Typical High $72.44 | Professional | 52 · Reduced service | $39.81 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $25.12 Typical High $28.84 | Professional | 53 · Discontinued | $16.22 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $93.33 Typical High $109.65 | Professional | 54 · Surgery only | $60.26 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $18.62 Typical High $21.88 | Professional | 55 · Aftercare only | $12.02 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $12.59 Typical High $14.45 | Professional | 56 · Pre-op care only | $7.94 | $12.59 | $14.45 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$166
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.