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 $47.86 Median $1,202.26 Typical High $7,762.47 | Facility | None | $47.86 | $1,202.26 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $83.18 | Professional | None | $47.86 | $69.18 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $97.72 Median $208.93 Typical High $630.96 | Facility | None | $97.72 | $208.93 | $630.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $158.49 | Professional | None | $54.95 | $91.20 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $114.82 Typical High $199.53 | Facility | None | $66.07 | $114.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $120.23 | Professional | None | $50.12 | $58.88 | $120.23 |
Hally Health Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $223.87 | Professional | None | $64.57 | $107.15 | $223.87 |
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 $60.26 Typical High $104.71 | Professional | None | $60.26 | $60.26 | $104.71 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $114.82 | Professional | None | $33.11 | $33.11 | $114.82 |
United Setting Facility Modifier None Typical Low $141.25 Median $457.09 Typical High $1,819.70 | Facility | None | $141.25 | $457.09 | $1,819.70 |
United Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $131.83 | Professional | None | $48.98 | $72.44 | $131.83 |
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 $23.99 Median $32.36 Typical High $37.15 | Professional | 52 · Reduced service | $23.99 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $9.55 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $47.86 Typical High $56.23 | Professional | 54 · Surgery only | $35.48 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $9.77 Typical High $11.22 | Professional | 55 · Aftercare only | $7.08 | $9.77 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.46 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.79 | $6.46 | $7.41 |
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· 37th of 51
$74.13
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.