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 $77.62 Median $112.20 Typical High $331.13 | Facility | None | $77.62 | $112.20 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $123.03 | Professional | None | $77.62 | $102.33 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $331.13 Typical High $1,071.52 | Facility | None | $134.90 | $331.13 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $269.15 | Professional | None | $95.50 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $158.49 Typical High $251.19 | Facility | None | $87.10 | $158.49 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $208.93 | Professional | None | $91.20 | $120.23 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $398.11 | Professional | None | $107.15 | $169.82 | $398.11 |
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 $95.50 Median $107.15 Typical High $173.78 | Professional | None | $95.50 | $107.15 | $173.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $199.53 | Professional | None | $33.11 | $33.11 | $199.53 |
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 $83.18 Median $120.23 Typical High $213.80 | Professional | None | $83.18 | $120.23 | $213.80 |
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 $38.90 Median $51.29 Typical High $61.66 | Professional | 52 · Reduced service | $38.90 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.42 Typical High $24.55 | Professional | 53 · Discontinued | $15.85 | $20.42 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.49 Typical High $18.62 | Professional | 55 · Aftercare only | $11.75 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.23 Typical High $12.30 | Professional | 56 · Pre-op care only | $7.76 | $10.23 | $12.30 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 33rd of 51
$123
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.