How much rates vary
Facilitymedian $13,490 · 10th to 90th $1,622 to $26,915Professionalmedian $2,239 · 10th to 90th $1,660 to $3,311
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 $4,073.80 Typical High $14,125.38 | Facility | None | $1,148.15 | $4,073.80 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,621.81 | $1,819.70 | $1,819.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $17,782.79 Median $22,387.21 Typical High $32,359.37 | Facility | None | $17,782.79 | $22,387.21 | $32,359.37 |
BCBS Illinois Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,754.23 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $21,379.62 Typical High $26,915.35 | Facility | None | $776.25 | $21,379.62 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,905.46 | $2,290.87 | $3,019.95 |
Hally Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $6,918.31 | Professional | None | $1,905.46 | $2,884.03 | $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 $2,041.74 Median $2,238.72 Typical High $2,511.89 | Professional | None | $2,041.74 | $2,238.72 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $190.55 Typical High $1,949.84 | Professional | None | $33.11 | $190.55 | $1,949.84 |
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 $1,659.59 Median $2,187.76 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,187.76 | $3,715.35 |
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 $812.83 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $812.83 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $331.13 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,230.27 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $245.47 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $162.18 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,258.93 | $1,258.93 |
Where Illinois sits
The same service costs 7.8 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 $31,233KY $3,989
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.