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 $524.81 Median $1,698.24 Typical High $5,623.41 | Facility | None | $524.81 | $1,698.24 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $524.81 Typical High $912.01 | Professional | None | $288.40 | $524.81 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $3,467.37 | Facility | None | $616.60 | $933.25 | $3,467.37 |
BCBS Illinois Setting Professional Modifier None Typical Low $316.23 Median $616.60 Typical High $1,071.52 | Professional | None | $316.23 | $616.60 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $954.99 | Facility | None | $489.78 | $758.58 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $1,000.00 | Professional | None | $323.59 | $616.60 | $1,000.00 |
Hally Health Setting Professional Modifier None Typical Low $363.08 Median $831.76 Typical High $1,479.11 | Professional | None | $363.08 | $831.76 | $1,479.11 |
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 $380.19 Median $398.11 Typical High $851.14 | Professional | None | $380.19 | $398.11 | $851.14 |
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 $501.19 Typical High $1,995.26 | Facility | None | $141.25 | $501.19 | $1,995.26 |
United Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $1,071.52 | Professional | None | $323.59 | $602.56 | $1,071.52 |
1 more rate 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 54 · Surgery only Typical Low $204.17 Median $371.54 Typical High $436.52 | Professional | 54 · Surgery only | $204.17 | $371.54 | $436.52 |
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.
Illinois· 30th of 51
$575
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.