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 $63.10 Median $97.72 Typical High $416.87 | Facility | None | $63.10 | $97.72 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $109.65 | Professional | None | $57.54 | $72.44 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $109.65 | Professional | None | $81.28 | $109.65 | $109.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $851.14 | Facility | None | $117.49 | $257.04 | $851.14 |
BCBS Illinois Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $177.83 | Professional | None | $81.28 | $128.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $141.25 Typical High $245.47 | Facility | None | $77.62 | $141.25 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $165.96 | Professional | None | $70.79 | $91.20 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $288.40 | Professional | None | $85.11 | $134.90 | $288.40 |
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 $81.28 Median $87.10 Typical High $134.90 | Professional | None | $81.28 | $87.10 | $134.90 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $158.49 | Professional | None | $33.11 | $33.11 | $158.49 |
United Setting Facility Modifier None Typical Low $141.25 Median $501.19 Typical High $1,819.70 | Facility | None | $141.25 | $501.19 | $1,819.70 |
United Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $162.18 | Professional | None | $67.61 | $95.50 | $162.18 |
4 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 $33.11 Median $40.74 Typical High $48.98 | Professional | 52 · Reduced service | $33.11 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.22 Typical High $19.50 | Professional | 53 · Discontinued | $13.18 | $16.22 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $12.30 Typical High $14.45 | Professional | 55 · Aftercare only | $9.77 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.13 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.61 | $8.13 | $9.77 |
Where Illinois sits
The same service costs 3.6 times more in Alaska 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· 27th of 51
$105
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.