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 $44.67 Median $83.18 Typical High $165.96 | Facility | None | $44.67 | $83.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $131.83 | Professional | None | $44.67 | $74.13 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $134.90 | Professional | None | $57.54 | $107.15 | $134.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $102.33 Median $218.78 Typical High $630.96 | Facility | None | $102.33 | $218.78 | $630.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $162.18 | Professional | None | $51.29 | $104.71 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $123.03 Typical High $213.80 | Facility | None | $67.61 | $123.03 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $147.91 | Professional | None | $53.70 | $75.86 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $269.15 | Professional | None | $60.26 | $114.82 | $269.15 |
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 $47.86 Median $53.70 Typical High $117.49 | Professional | None | $47.86 | $53.70 | $117.49 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $141.25 | Professional | None | $33.11 | $33.11 | $141.25 |
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 $45.71 Median $79.43 Typical High $138.04 | Professional | None | $45.71 | $79.43 | $138.04 |
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 $20.42 Median $34.67 Typical High $41.69 | Professional | 52 · Reduced service | $20.42 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $14.13 Typical High $16.60 | Professional | 53 · Discontinued | $8.13 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $10.47 Typical High $12.59 | Professional | 55 · Aftercare only | $6.17 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $7.08 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.07 | $7.08 | $8.32 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 29th of 51
$83.18
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.