How much rates vary
Facilitymedian $2,344 · 10th to 90th $851 to $5,888Professionalmedian $501 · 10th to 90th $398 to $794
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 $512.86 Median $1,288.25 Typical High $5,623.41 | Facility | None | $512.86 | $1,288.25 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $645.65 | Professional | None | $389.05 | $426.58 | $645.65 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | None | $354.81 | $354.81 | $380.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $5,495.41 | Facility | None | $1,905.46 | $2,754.23 | $5,495.41 |
BCBS Illinois Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $812.83 | Professional | None | $501.19 | $691.83 | $812.83 |
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 $426.58 Median $478.63 Typical High $724.44 | Professional | None | $426.58 | $478.63 | $724.44 |
Hally Health Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,479.11 | Professional | None | $446.68 | $676.08 | $1,479.11 |
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 $478.63 Median $524.81 Typical High $588.84 | Professional | None | $478.63 | $524.81 | $588.84 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $478.63 | Professional | None | $33.11 | $46.77 | $478.63 |
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 $380.19 Median $478.63 Typical High $831.76 | Professional | None | $380.19 | $478.63 | $831.76 |
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 $288.40 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $288.40 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $269.15 | $295.12 | $295.12 |
Where Illinois sits
The same service costs 5.1 times more in Colorado than in Montana. 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
CO $6,741MT $1,322
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.