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 $933.25 Median $2,951.21 Typical High $7,762.47 | Facility | None | $933.25 | $2,951.21 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | None | $912.01 | $1,000.00 | $1,000.00 |
Ambetter Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,623.41 Median $8,317.64 Typical High $13,489.63 | Facility | None | $5,623.41 | $8,317.64 | $13,489.63 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,584.89 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $6,606.93 Typical High $8,317.64 | Facility | None | $1,778.28 | $6,606.93 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,698.24 | Professional | None | $977.24 | $1,023.29 | $1,698.24 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $4,365.16 | Professional | None | $1,071.52 | $1,621.81 | $4,365.16 |
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 $1,148.15 Median $1,258.93 Typical High $1,412.54 | Professional | None | $1,148.15 | $1,258.93 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $109.65 Typical High $1,096.48 | Professional | None | $33.11 | $109.65 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $12,882.50 | Facility | None | $1,288.25 | $4,073.80 | $12,882.50 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,949.84 | Professional | None | $912.01 | $1,096.48 | $1,949.84 |
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 $691.83 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $691.83 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $630.96 | $707.95 | $707.95 |
Where Illinois sits
The same service costs 7.6 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
$1,148
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.