How much rates vary
Facilitymedian $1,660 · 10th to 90th $741 to $4,467Professionalmedian $912 · 10th to 90th $692 to $1,445
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 $691.83 Median $1,621.81 Typical High $5,623.41 | Facility | None | $691.83 | $1,621.81 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | None | $691.83 | $758.58 | $758.58 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $9,772.37 | Facility | None | $1,318.26 | $2,041.74 | $9,772.37 |
BCBS Illinois Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,445.44 | Professional | None | $912.01 | $1,230.27 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,584.89 Typical High $2,089.30 | Facility | None | $776.25 | $1,584.89 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,288.25 | Professional | None | $794.33 | $933.25 | $1,288.25 |
Hally Health Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $2,951.21 | Professional | None | $794.33 | $1,202.26 | $2,951.21 |
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 $851.14 Median $933.25 Typical High $1,047.13 | Professional | None | $851.14 | $933.25 | $1,047.13 |
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 $676.08 Median $1,513.56 Typical High $4,265.80 | Facility | None | $676.08 | $1,513.56 | $4,265.80 |
United Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,479.11 | Professional | None | $691.83 | $870.96 | $1,479.11 |
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 $346.74 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $346.74 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $512.86 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $478.63 | $524.81 | $524.81 |
Where Illinois sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.