How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,230 to $38,905Professionalmedian $1,349 · 10th to 90th $1,072 to $2,188
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 $831.76 Median $2,137.96 Typical High $7,762.47 | Facility | None | $831.76 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,174.90 | $1,737.80 |
Ambetter Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $16,595.87 Median $33,113.11 Typical High $41,686.94 | Facility | None | $16,595.87 | $33,113.11 | $41,686.94 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,819.70 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $31,622.78 Typical High $40,738.03 | Facility | None | $1,548.82 | $31,622.78 | $40,738.03 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,230.27 | $1,995.26 |
Hally Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $4,168.69 | Professional | None | $1,258.93 | $1,905.46 | $4,168.69 |
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 $1,380.38 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,380.38 | $1,479.11 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $125.89 Typical High $1,318.26 | Professional | None | $33.11 | $125.89 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $3,090.30 Typical High $9,772.37 | Facility | None | $1,174.90 | $3,090.30 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,288.25 | $2,290.87 |
2 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 54 · Surgery only Typical Low $812.83 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $812.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $758.58 | $831.76 | $831.76 |
Where Illinois sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.