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 $831.76 Median $2,290.87 Typical High $7,762.47 | Facility | None | $831.76 | $2,290.87 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $2,884.03 | Professional | None | $2,041.74 | $2,290.87 | $2,884.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $26,302.68 | Facility | None | $2,951.21 | $4,466.84 | $26,302.68 |
BCBS Illinois Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $7,413.10 | Professional | None | $2,951.21 | $3,467.37 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,467.37 Typical High $4,365.16 | Facility | None | $741.31 | $3,467.37 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $4,265.80 | Professional | None | $2,089.30 | $3,162.28 | $4,265.80 |
Hally Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $6,918.31 | Professional | None | $1,258.93 | $1,995.26 | $6,918.31 |
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 $1,479.11 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,584.89 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,174.90 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $5,248.07 | Professional | None | $2,187.76 | $3,019.95 | $5,248.07 |
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 $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,023.29 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,513.56 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $302.00 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $204.17 | $229.09 | $229.09 |
Where Illinois sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 17th of 51
$2,884
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.