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 $151.36 Median $1,288.25 Typical High $5,623.41 | Facility | None | $151.36 | $1,288.25 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $128.82 Typical High $154.88 | Professional | None | $66.07 | $128.82 | $154.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $389.05 Median $831.76 Typical High $1,659.59 | Facility | None | $389.05 | $831.76 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None Typical Low $79.43 Median $173.78 Typical High $269.15 | Professional | None | $79.43 | $173.78 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $151.36 Typical High $269.15 | Professional | None | $81.28 | $151.36 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $229.09 Typical High $512.86 | Professional | None | $102.33 | $229.09 | $512.86 |
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 $89.13 Median $95.50 Typical High $213.80 | Professional | None | $89.13 | $95.50 | $213.80 |
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 $173.78 Median $1,000.00 Typical High $3,235.94 | Facility | None | $173.78 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $295.12 | Professional | None | $79.43 | $158.49 | $295.12 |
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 $33.11 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $33.11 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $13.18 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $91.20 Typical High $112.20 | Professional | 54 · Surgery only | $48.98 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $18.20 Typical High $22.91 | Professional | 55 · Aftercare only | $9.77 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $12.02 Typical High $15.14 | Professional | 56 · Pre-op care only | $6.61 | $12.02 | $15.14 |
Where Illinois sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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· 33rd of 51
$151
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.