How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,259 to $20,417Professionalmedian $1,259 · 10th to 90th $933 to $1,950
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 $831.76 Median $2,238.72 Typical High $7,762.47 | Facility | None | $831.76 | $2,238.72 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | None | $954.99 | $1,047.13 | $1,047.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $12,589.25 Median $16,595.87 Typical High $22,387.21 | Facility | None | $12,589.25 | $16,595.87 | $22,387.21 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,621.81 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $15,848.93 Typical High $20,417.38 | Facility | None | $741.31 | $15,848.93 | $20,417.38 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,288.25 | $1,778.28 |
Hally Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $3,890.45 | Professional | None | $1,096.48 | $1,659.59 | $3,890.45 |
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 $1,288.25 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,288.25 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $112.20 Typical High $1,148.15 | Professional | None | $33.11 | $112.20 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $5,011.87 Typical High $16,982.44 | Facility | None | $1,479.11 | $5,011.87 | $16,982.44 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $2,041.74 | Professional | None | $933.25 | $1,148.15 | $2,041.74 |
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 $467.74 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $467.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $190.55 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $707.95 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $141.25 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $660.69 | $724.44 | $724.44 |
Where Illinois sits
The same service costs 7.2 times more in Alaska than in Hawaii. 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 $19,657HI $2,734
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.