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 $63.10 Median $1,288.25 Typical High $5,623.41 | Facility | None | $63.10 | $1,288.25 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $75.86 | Professional | None | $37.15 | $47.86 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $125.89 | Professional | None | $60.26 | $61.66 | $125.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $575.44 | Facility | None | $64.57 | $102.33 | $575.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $109.65 | Professional | None | $43.65 | $75.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $524.81 | Facility | None | $60.26 | $85.11 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $102.33 | Professional | None | $42.66 | $63.10 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $199.53 | Professional | None | $56.23 | $91.20 | $199.53 |
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 $48.98 Median $52.48 Typical High $89.13 | Professional | None | $48.98 | $52.48 | $89.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $97.72 | Professional | None | $33.11 | $33.11 | $97.72 |
United Setting Facility Modifier None Typical Low $141.25 Median $501.19 Typical High $1,819.70 | Facility | None | $141.25 | $501.19 | $1,819.70 |
United Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $104.71 | Professional | None | $42.66 | $60.26 | $104.71 |
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 $19.95 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $19.95 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.72 Typical High $12.59 | Professional | 53 · Discontinued | $7.94 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $40.74 Typical High $47.86 | Professional | 54 · Surgery only | $29.51 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $8.13 Typical High $9.55 | Professional | 55 · Aftercare only | $6.03 | $8.13 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.37 Typical High $6.31 | Professional | 56 · Pre-op care only | $3.98 | $5.37 | $6.31 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 34th of 51
$63.10
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.