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 $537.03 Median $1,862.09 Typical High $5,888.44 | Facility | None | $537.03 | $1,862.09 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | None | $489.78 | $537.03 | $537.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $6,918.31 | Facility | None | $1,445.44 | $2,290.87 | $6,918.31 |
BCBS Illinois Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,023.29 | Professional | None | $630.96 | $870.96 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,737.80 Typical High $2,137.96 | Facility | None | $691.83 | $1,737.80 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $912.01 | Professional | None | $501.19 | $549.54 | $912.01 |
Hally Health Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $2,041.74 | Professional | None | $562.34 | $870.96 | $2,041.74 |
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 $630.96 Median $676.08 Typical High $741.31 | Professional | None | $630.96 | $676.08 | $741.31 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $602.56 | Professional | None | $33.11 | $58.88 | $602.56 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $4,365.16 | Facility | None | $676.08 | $1,513.56 | $4,365.16 |
United Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $1,000.00 | Professional | None | $478.63 | $562.34 | $1,000.00 |
2 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 54 · Surgery only Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $363.08 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $338.84 | $371.54 | $371.54 |
Where Illinois sits
The same service costs 8.1 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· 33rd of 51
$617
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.