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 $1,148.15 Median $3,548.13 Typical High $10,232.93 | Facility | None | $1,148.15 | $3,548.13 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,570.40 | $2,570.40 |
BCBS Illinois Setting Facility Modifier None Typical Low $17,378.01 Median $22,908.68 Typical High $33,884.42 | Facility | None | $17,378.01 | $22,908.68 | $33,884.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $3,162.28 Median $4,365.16 Typical High $4,897.79 | Professional | None | $3,162.28 | $4,365.16 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $20,892.96 Typical High $26,302.68 | Facility | None | $776.25 | $20,892.96 | $26,302.68 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $4,466.84 | Professional | None | $2,187.76 | $2,290.87 | $4,466.84 |
Hally Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,981.07 Typical High $6,918.31 | Professional | None | $2,630.27 | $3,981.07 | $6,918.31 |
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 $2,570.40 Median $3,090.30 Typical High $3,630.78 | Professional | None | $2,570.40 | $3,090.30 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $302.00 Typical High $3,019.95 | Professional | None | $33.11 | $302.00 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $8,128.31 Typical High $25,703.96 | Facility | None | $1,659.59 | $8,128.31 | $25,703.96 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $4,786.30 | Professional | None | $1,949.84 | $2,511.89 | $4,786.30 |
2 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 54 · Surgery only Typical Low $1,659.59 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,659.59 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,819.70 | $1,819.70 |
Where Illinois sits
The same service costs 8.1 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· 32nd of 51
$2,692
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.