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 $1,096.48 Median $3,548.13 Typical High $10,232.93 | Facility | None | $1,096.48 | $3,548.13 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,570.40 | $2,570.40 |
BCBS Illinois Setting Facility Modifier None Typical Low $14,125.38 Median $20,417.38 Typical High $33,113.11 | Facility | None | $14,125.38 | $20,417.38 | $33,113.11 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $16,218.10 Typical High $20,892.96 | Facility | None | $776.25 | $16,218.10 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $4,265.80 | Professional | None | $2,511.89 | $2,691.53 | $4,265.80 |
Hally Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,981.07 Typical High $9,332.54 | Professional | None | $2,691.53 | $3,981.07 | $9,332.54 |
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 $2,884.03 Median $3,162.28 Typical High $3,548.13 | Professional | None | $2,884.03 | $3,162.28 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $295.12 Typical High $3,019.95 | Professional | None | $33.11 | $295.12 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $7,585.78 Typical High $25,703.96 | Facility | None | $1,659.59 | $7,585.78 | $25,703.96 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $5,128.61 | Professional | None | $2,344.23 | $3,090.30 | $5,128.61 |
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 $1,148.15 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,148.15 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $467.74 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,737.80 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $346.74 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,778.28 | $1,778.28 |
Where Illinois sits
The same service costs 25.7 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· 34th of 51
$2,951
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.