How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,122 to $6,918Professionalmedian $1,202 · 10th to 90th $955 to $1,995
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 $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | None | $954.99 | $1,047.13 | $1,047.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $13,489.63 | Facility | None | $1,905.46 | $3,019.95 | $13,489.63 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,659.59 | $1,995.26 |
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 $1,023.29 Median $1,071.52 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,071.52 | $1,819.70 |
Hally Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $3,801.89 | Professional | None | $1,122.02 | $1,698.24 | $3,801.89 |
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 $1,230.27 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,230.27 | $1,318.26 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $112.20 Typical High $1,148.15 | Professional | None | $33.11 | $112.20 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,454.71 Typical High $6,918.31 | Facility | None | $1,047.13 | $2,454.71 | $6,918.31 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,995.26 | Professional | None | $954.99 | $1,148.15 | $1,995.26 |
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 $724.44 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $724.44 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $676.08 | $724.44 | $724.44 |
Where Illinois sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.