How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,175 to $6,918Professionalmedian $1,514 · 10th to 90th $1,230 to $2,455
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 $831.76 Median $2,137.96 Typical High $7,762.47 | Facility | None | $831.76 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,174.90 | $1,318.26 | $1,318.26 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $16,982.44 | Facility | None | $1,905.46 | $3,019.95 | $16,982.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,454.71 | Professional | None | $1,513.56 | $2,041.74 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $3,019.95 | Facility | None | $1,412.54 | $2,290.87 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,479.11 | $2,187.76 |
Hally Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $5,888.44 | Professional | None | $1,348.96 | $2,041.74 | $5,888.44 |
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 $1,445.44 Median $1,584.89 Typical High $1,778.28 | Professional | None | $1,445.44 | $1,584.89 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $141.25 Typical High $1,445.44 | Professional | None | $33.11 | $141.25 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,047.13 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,479.11 | $2,570.40 |
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 $891.25 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $891.25 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $831.76 | $912.01 | $912.01 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.