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 $138.04 Median $1,318.26 Typical High $5,623.41 | Facility | None | $138.04 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $151.36 | Professional | None | $85.11 | $104.71 | $151.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $114.82 Median $346.74 Typical High $1,174.90 | Facility | None | $114.82 | $346.74 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $245.47 | Professional | None | $114.82 | $181.97 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $257.04 | Facility | None | $97.72 | $177.83 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $229.09 | Professional | None | $109.65 | $134.90 | $229.09 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $426.58 | Professional | None | $125.89 | $190.55 | $426.58 |
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 $117.49 Median $125.89 Typical High $190.55 | Professional | None | $117.49 | $125.89 | $190.55 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None | $33.11 | $33.11 | $218.78 |
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 $102.33 Median $138.04 Typical High $234.42 | Professional | None | $102.33 | $138.04 | $234.42 |
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 $47.86 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $47.86 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $22.91 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.38 Typical High $20.42 | Professional | 55 · Aftercare only | $14.45 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $11.48 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.55 | $11.48 | $13.80 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$148
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.