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 $676.08 Median $1,862.09 Typical High $5,623.41 | Facility | None | $676.08 | $1,862.09 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $912.01 | Professional | None | $602.56 | $724.44 | $912.01 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $7,943.28 | Facility | None | $1,905.46 | $3,019.95 | $7,943.28 |
BCBS Illinois Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $2,137.96 | Professional | None | $977.24 | $1,174.90 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $2,290.87 Typical High $2,818.38 | Facility | None | $776.25 | $2,290.87 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $1,584.89 | Professional | None | $645.65 | $1,023.29 | $1,584.89 |
Hally Health Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,454.71 | Professional | None | $776.25 | $1,230.27 | $2,454.71 |
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 $851.14 Median $912.01 Typical High $1,202.26 | Professional | None | $851.14 | $912.01 | $1,202.26 |
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 $4,466.84 | Facility | None | $676.08 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,621.81 | Professional | None | $676.08 | $1,000.00 | $1,621.81 |
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 $302.00 Median $363.08 Typical High $407.38 | Professional | 52 · Reduced service | $302.00 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $162.18 | Professional | 53 · Discontinued | $120.23 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $457.09 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $123.03 | Professional | 55 · Aftercare only | $91.20 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $72.44 Typical High $81.28 | Professional | 56 · Pre-op care only | $60.26 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $426.58 | $512.86 | $575.44 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 19th of 51
$1,023
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.