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 $602.56 Median $2,137.96 Typical High $7,762.47 | Facility | None | $602.56 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | None | $549.54 | $602.56 | $602.56 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $7,762.47 | Facility | None | $2,511.89 | $3,630.78 | $7,762.47 |
BCBS Illinois Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,122.02 | Professional | None | $707.95 | $954.99 | $1,122.02 |
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 $588.84 Median $691.83 Typical High $1,000.00 | Professional | None | $588.84 | $691.83 | $1,000.00 |
Hally Health Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $2,290.87 | Professional | None | $630.96 | $933.25 | $2,290.87 |
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 $691.83 Median $741.31 Typical High $831.76 | Professional | None | $691.83 | $741.31 | $831.76 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $66.07 Typical High $660.69 | Professional | None | $33.11 | $66.07 | $660.69 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,454.71 | $7,585.78 |
United Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,122.02 | Professional | None | $537.03 | $645.65 | $1,122.02 |
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 $269.15 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $269.15 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $407.38 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $81.28 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $53.70 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $380.19 | $416.87 | $416.87 |
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
$692
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.