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 $39.81 Median $66.07 Typical High $123.03 | Facility | None | $39.81 | $66.07 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $123.03 | Professional | None | $39.81 | $66.07 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $870.96 | Facility | None | $257.04 | $302.00 | $870.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $154.88 | Professional | None | $54.95 | $97.72 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $812.83 | Facility | None | $50.12 | $66.07 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $144.54 | Professional | None | $53.70 | $85.11 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $181.97 | Professional | None | $58.88 | $107.15 | $181.97 |
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 $52.48 Median $58.88 Typical High $109.65 | Professional | None | $52.48 | $58.88 | $109.65 |
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 $46.77 Median $75.86 Typical High $131.83 | Professional | None | $46.77 | $75.86 | $131.83 |
4 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 $19.95 Median $29.51 Typical High $36.31 | Professional | 52 · Reduced service | $19.95 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $11.75 Typical High $14.45 | Professional | 53 · Discontinued | $7.94 | $11.75 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $8.71 Typical High $10.96 | Professional | 55 · Aftercare only | $5.89 | $8.71 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.89 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.98 | $5.89 | $7.24 |
Where Illinois sits
The same service costs 3.3 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· 21st of 51
$79.43
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.