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 $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 $1,584.89 Median $1,737.80 Typical High $1,778.28 | Professional | None | $1,584.89 | $1,737.80 | $1,778.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $22,908.68 | Facility | None | $1,318.26 | $2,041.74 | $22,908.68 |
BCBS Illinois Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $3,548.13 | Professional | None | $2,137.96 | $2,951.21 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,089.30 | Facility | None | $977.24 | $1,584.89 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,348.96 | $1,659.59 | $3,019.95 |
Hally Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $7,413.10 | Professional | None | $1,659.59 | $2,630.27 | $7,413.10 |
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 $1,949.84 Median $2,041.74 Typical High $2,187.76 | Professional | None | $1,949.84 | $2,041.74 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $2,570.40 | Professional | None | $33.11 | $33.11 | $2,570.40 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $3,801.89 | Facility | None | $446.68 | $1,047.13 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,715.35 | Professional | None | $1,348.96 | $2,041.74 | $3,715.35 |
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 $1,174.90 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,174.90 | $1,318.26 | $1,318.26 |
Where Illinois sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 29th of 51
$2,138
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.