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 $50.12 Median $67.61 Typical High $190.55 | Facility | None | $50.12 | $67.61 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $87.10 | Professional | None | $52.48 | $74.13 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | None | $72.44 | $72.44 | $112.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $85.11 Median $263.03 Typical High $691.83 | Facility | None | $85.11 | $263.03 | $691.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $128.82 | Professional | None | $61.66 | $95.50 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $169.82 | Facility | None | $63.10 | $97.72 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $128.82 | Professional | None | $67.61 | $85.11 | $128.82 |
Hally Health Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $302.00 | Professional | None | $74.13 | $107.15 | $302.00 |
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 $64.57 Median $67.61 Typical High $104.71 | Professional | None | $64.57 | $67.61 | $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 $501.19 Typical High $1,819.70 | Facility | None | $141.25 | $501.19 | $1,819.70 |
United Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $134.90 | Professional | None | $58.88 | $83.18 | $134.90 |
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 $26.30 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $26.30 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $14.79 | Professional | 53 · Discontinued | $10.72 | $12.59 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $9.55 Typical High $10.96 | Professional | 55 · Aftercare only | $7.94 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.31 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.25 | $6.31 | $7.41 |
Where Illinois sits
The same service costs 3.5 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· 31st of 51
$85.11
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.