How much rates vary
Facilitymedian $2,188 · 10th to 90th $776 to $5,495Professionalmedian $1,349 · 10th to 90th $1,047 to $2,239
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 $812.83 Median $1,905.46 Typical High $5,888.44 | Facility | None | $812.83 | $1,905.46 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,096.48 | $1,621.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $14,125.38 | Facility | None | $1,905.46 | $3,019.95 | $14,125.38 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,778.28 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $2,951.21 | Facility | None | $1,148.15 | $2,290.87 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,258.93 | $2,089.30 |
Hally Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $4,073.80 | Professional | None | $1,047.13 | $1,698.24 | $4,073.80 |
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 $1,202.26 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,348.96 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $4,365.16 | Facility | None | $676.08 | $1,513.56 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,344.23 | Professional | None | $1,096.48 | $1,412.54 | $2,344.23 |
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 $741.31 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $741.31 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $758.58 |
Where Illinois sits
The same service costs 3.4 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 $7,428KY $2,193
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.