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 $30.90 Typical High $79.43 | Facility | None | $16.98 | $30.90 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $30.90 Typical High $33.88 | Professional | None | $17.38 | $30.90 | $33.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $74.13 Median $190.55 Typical High $275.42 | Facility | None | $74.13 | $190.55 | $275.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $17.78 Median $37.15 Typical High $66.07 | Professional | None | $17.78 | $37.15 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $812.83 | Facility | None | $50.12 | $66.07 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $41.69 Typical High $60.26 | Professional | None | $21.38 | $41.69 | $60.26 |
Hally Health Setting Professional Modifier None Typical Low $26.30 Median $48.98 Typical High $120.23 | Professional | None | $26.30 | $48.98 | $120.23 |
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 $22.39 Median $22.91 Typical High $44.67 | Professional | None | $22.39 | $22.91 | $44.67 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | None | $33.11 | $33.11 | $47.86 |
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 $38.90 Typical High $63.10 | Professional | None | $19.50 | $38.90 | $63.10 |
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 $8.71 Median $14.79 Typical High $16.60 | Professional | 52 · Reduced service | $8.71 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $5.89 Typical High $6.61 | Professional | 53 · Discontinued | $3.47 | $5.89 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $4.37 Typical High $5.01 | Professional | 55 · Aftercare only | $2.63 | $4.37 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.95 Typical High $3.31 | Professional | 56 · Pre-op care only | $1.74 | $2.95 | $3.31 |
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· 25th of 51
$39.81
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.