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 $190.55 Median $1,318.26 Typical High $5,623.41 | Facility | None | $190.55 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $123.03 Typical High $208.93 | Professional | None | $47.86 | $123.03 | $208.93 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $1,318.26 | Facility | None | $309.03 | $660.69 | $1,318.26 |
BCBS Illinois Setting Professional Modifier None Typical Low $56.23 Median $204.17 Typical High $323.59 | Professional | None | $56.23 | $204.17 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $2,691.53 | Facility | None | $660.69 | $812.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $154.88 Typical High $457.09 | Professional | None | $54.95 | $154.88 | $457.09 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $269.15 Typical High $575.44 | Professional | None | $70.79 | $269.15 | $575.44 |
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 $60.26 Median $66.07 Typical High $269.15 | Professional | None | $60.26 | $66.07 | $269.15 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $288.40 | Professional | None | $33.11 | $33.11 | $288.40 |
United Setting Facility Modifier None Typical Low $138.04 Median $457.09 Typical High $1,949.84 | Facility | None | $138.04 | $457.09 | $1,949.84 |
United Setting Professional Modifier None Typical Low $52.48 Median $147.91 Typical High $338.84 | Professional | None | $52.48 | $147.91 | $338.84 |
5 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 $24.55 Median $70.79 Typical High $104.71 | Professional | 52 · Reduced service | $24.55 | $70.79 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $28.18 Typical High $41.69 | Professional | 53 · Discontinued | $9.77 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $107.15 Typical High $154.88 | Professional | 54 · Surgery only | $37.15 | $107.15 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $20.89 Typical High $31.62 | Professional | 55 · Aftercare only | $7.41 | $20.89 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $14.13 Typical High $20.89 | Professional | 56 · Pre-op care only | $4.90 | $14.13 | $20.89 |
Where Illinois sits
The same service costs 4.6 times more in Iowa than in Kentucky. 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· 25th of 51
$166
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.