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 $141.25 Median $1,288.25 Typical High $5,623.41 | Facility | None | $141.25 | $1,288.25 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $125.89 Typical High $177.83 | Professional | None | $63.10 | $125.89 | $177.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $2,398.83 | Facility | None | $851.14 | $1,380.38 | $2,398.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $85.11 Median $177.83 Typical High $281.84 | Professional | None | $85.11 | $177.83 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,348.96 Typical High $1,659.59 | Facility | None | $478.63 | $1,348.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $275.42 | Professional | None | $79.43 | $123.03 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $389.05 | Professional | None | $91.20 | $190.55 | $389.05 |
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 $77.62 Median $89.13 Typical High $199.53 | Professional | None | $77.62 | $89.13 | $199.53 |
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 $4,265.80 | Facility | None | $676.08 | $1,513.56 | $4,265.80 |
United Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $288.40 | Professional | None | $74.13 | $144.54 | $288.40 |
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 $30.90 Median $58.88 Typical High $70.79 | Professional | 52 · Reduced service | $30.90 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $12.59 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $87.10 Typical High $107.15 | Professional | 54 · Surgery only | $46.77 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $17.38 Typical High $21.38 | Professional | 55 · Aftercare only | $9.33 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $11.75 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.17 | $11.75 | $14.13 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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
$155
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.