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 $1,023.29 Median $3,235.94 Typical High $7,762.47 | Facility | None | $1,023.29 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,570.40 | $2,818.38 | $2,818.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $36,307.81 | Facility | None | $5,754.40 | $8,128.31 | $36,307.81 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $6,760.83 Typical High $8,709.64 | Facility | None | $776.25 | $6,760.83 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,754.23 | $3,311.31 | $4,466.84 |
Hally Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $10,000.00 | Professional | None | $3,019.95 | $4,466.84 | $10,000.00 |
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 $3,311.31 Median $3,548.13 Typical High $3,890.45 | Professional | None | $3,311.31 | $3,548.13 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $281.84 Typical High $2,884.03 | Professional | None | $33.11 | $281.84 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $12,882.50 | Facility | None | $1,288.25 | $4,073.80 | $12,882.50 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,090.30 | $5,370.32 |
6 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 $1,318.26 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,318.26 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $524.81 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,137.96 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,949.84 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $389.05 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $263.03 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,995.26 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,995.26 | $1,995.26 |
Where Illinois sits
The same service costs 20.9 times more in Alaska than in Texas. 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· 37th of 51
$3,162
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.