How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,288 to $10,471Professionalmedian $871 · 10th to 90th $708 to $1,445
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 $794.33 Median $3,235.94 Typical High $14,125.38 | Facility | None | $794.33 | $3,235.94 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,122.02 | Professional | None | $741.31 | $794.33 | $1,122.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $11,220.18 | Facility | None | $4,570.88 | $6,760.83 | $11,220.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,445.44 | Professional | None | $870.96 | $1,174.90 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $5,370.32 Typical High $6,760.83 | Facility | None | $1,380.38 | $5,370.32 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,288.25 | Professional | None | $776.25 | $812.83 | $1,288.25 |
Hally Health Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $3,467.37 | Professional | None | $851.14 | $1,258.93 | $3,467.37 |
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 $954.99 Median $1,000.00 Typical High $1,096.48 | Professional | None | $954.99 | $1,000.00 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $81.28 Typical High $831.76 | Professional | None | $33.11 | $81.28 | $831.76 |
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 $707.95 Median $891.25 Typical High $1,548.82 | Professional | None | $707.95 | $891.25 | $1,548.82 |
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 $371.54 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $371.54 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $549.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $109.65 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $512.86 | $562.34 | $562.34 |
Where Illinois sits
The same service costs 4.9 times more in Alaska 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
AK $10,315KY $2,095
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.