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 $85.11 Median $309.03 Typical High $4,677.35 | Facility | None | $85.11 | $309.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $147.91 Typical High $223.87 | Professional | None | $66.07 | $147.91 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $208.93 | Professional | None | $63.10 | $77.62 | $208.93 |
BCBS Illinois Setting Facility Modifier None Typical Low $436.52 Median $933.25 Typical High $1,862.09 | Facility | None | $436.52 | $933.25 | $1,862.09 |
BCBS Illinois Setting Professional Modifier None Typical Low $75.86 Median $199.53 Typical High $363.08 | Professional | None | $75.86 | $199.53 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $169.82 Typical High $478.63 | Professional | None | $81.28 | $169.82 | $478.63 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $263.03 Typical High $691.83 | Professional | None | $97.72 | $263.03 | $691.83 |
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 $85.11 Median $91.20 Typical High $251.19 | Professional | None | $85.11 | $91.20 | $251.19 |
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 $173.78 Median $1,000.00 Typical High $3,235.94 | Facility | None | $173.78 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $77.62 Median $169.82 Typical High $338.84 | Professional | None | $77.62 | $169.82 | $338.84 |
5 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 $34.67 Median $77.62 Typical High $95.50 | Professional | 52 · Reduced service | $34.67 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $30.90 Typical High $38.02 | Professional | 53 · Discontinued | $13.80 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $117.49 Typical High $144.54 | Professional | 54 · Surgery only | $52.48 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $23.44 Typical High $28.84 | Professional | 55 · Aftercare only | $10.23 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $15.49 Typical High $19.05 | Professional | 56 · Pre-op care only | $6.92 | $15.49 | $19.05 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 27th of 51
$174
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.