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 $758.58 Median $2,137.96 Typical High $7,762.47 | Facility | None | $758.58 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $794.33 | Professional | None | $724.44 | $794.33 | $794.33 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $10,232.93 | Facility | None | $2,511.89 | $3,981.07 | $10,232.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,479.11 | Professional | None | $912.01 | $1,258.93 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,884.03 Typical High $3,715.35 | Facility | None | $741.31 | $2,884.03 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,348.96 | Professional | None | $851.14 | $1,202.26 | $1,348.96 |
Hally Health Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $3,311.31 | Professional | None | $831.76 | $1,288.25 | $3,311.31 |
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 $912.01 Median $977.24 Typical High $1,096.48 | Professional | None | $912.01 | $977.24 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $85.11 Typical High $870.96 | Professional | None | $33.11 | $85.11 | $870.96 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $10,471.29 | Facility | None | $1,288.25 | $4,073.80 | $10,471.29 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,584.89 | Professional | None | $707.95 | $891.25 | $1,584.89 |
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 $354.81 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $537.03 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $107.15 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $501.19 | $549.54 | $549.54 |
Where Illinois sits
The same service costs 8.3 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
$1,122
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.