How much rates vary
Facilitymedian $4,365 · 10th to 90th $851 to $12,589Professionalmedian $1,023 · 10th to 90th $759 to $1,514
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 $758.58 Median $1,621.81 Typical High $5,623.41 | Facility | None | $758.58 | $1,621.81 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $831.76 | Professional | None | $741.31 | $831.76 | $831.76 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,011.87 Median $10,715.19 Typical High $21,379.62 | Facility | None | $5,011.87 | $10,715.19 | $21,379.62 |
BCBS Illinois Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,479.11 | Professional | None | $912.01 | $1,258.93 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $2,511.89 | Facility | None | $512.86 | $776.25 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,348.96 | Professional | None | $870.96 | $1,023.29 | $1,348.96 |
Hally Health Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $3,981.07 | Professional | None | $870.96 | $1,288.25 | $3,981.07 |
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 $912.01 Median $1,023.29 Typical High $1,122.02 | Professional | None | $912.01 | $1,023.29 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $1,096.48 | Professional | None | $33.11 | $33.11 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $4,897.79 Typical High $12,882.50 | Facility | None | $1,412.54 | $4,897.79 | $12,882.50 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,698.24 | Professional | None | $758.58 | $1,023.29 | $1,698.24 |
5 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 $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $151.36 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $562.34 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $75.86 | $83.18 | $83.18 |
Where Illinois sits
The same service costs 4.6 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 $9,843KY $2,122
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.