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 $16.98 Median $29.51 Typical High $72.44 | Facility | None | $16.98 | $29.51 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $28.84 Typical High $33.11 | Professional | None | $17.78 | $28.84 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $30.90 Median $64.57 Typical High $251.19 | Facility | None | $30.90 | $64.57 | $251.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $60.26 | Professional | None | $17.78 | $33.88 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $37.15 Typical High $66.07 | Facility | None | $26.30 | $37.15 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $43.65 Typical High $61.66 | Professional | None | $21.38 | $43.65 | $61.66 |
Hally Health Setting Professional Modifier None Typical Low $25.12 Median $46.77 Typical High $125.89 | Professional | None | $25.12 | $46.77 | $125.89 |
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 $21.88 Median $21.88 Typical High $40.74 | Professional | None | $21.88 | $21.88 | $40.74 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | None | $33.11 | $33.11 | $43.65 |
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 $19.50 Median $41.69 Typical High $64.57 | Professional | None | $19.50 | $41.69 | $64.57 |
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 $8.91 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $8.91 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $3.55 | $5.50 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $4.07 Typical High $4.68 | Professional | 55 · Aftercare only | $2.69 | $4.07 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.75 Typical High $3.09 | Professional | 56 · Pre-op care only | $1.78 | $2.75 | $3.09 |
Where Illinois sits
The same service costs 3.5 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· 26th of 51
$38.02
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.