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 $616.60 Median $2,137.96 Typical High $7,762.47 | Facility | None | $616.60 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $616.60 | Professional | None | $562.34 | $616.60 | $616.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $7,943.28 | Facility | None | $1,318.26 | $2,041.74 | $7,943.28 |
BCBS Illinois Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,174.90 | Professional | None | $724.44 | $977.24 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $2,089.30 | Facility | None | $741.31 | $1,584.89 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,071.52 | Professional | None | $676.08 | $1,023.29 | $1,071.52 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $2,570.40 | Professional | None | $645.65 | $1,023.29 | $2,570.40 |
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 $707.95 Median $758.58 Typical High $851.14 | Professional | None | $707.95 | $758.58 | $851.14 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $67.61 Typical High $691.83 | Professional | None | $33.11 | $67.61 | $691.83 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,454.71 Typical High $5,888.44 | Facility | None | $1,047.13 | $2,454.71 | $5,888.44 |
United Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,230.27 | Professional | None | $549.54 | $707.95 | $1,230.27 |
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 $281.84 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $416.87 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $83.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $389.05 | $426.58 | $426.58 |
Where Illinois sits
The same service costs 7.4 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· 25th of 51
$891
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.