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 $40.74 Median $77.62 Typical High $234.42 | Facility | None | $40.74 | $77.62 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $85.11 | Professional | None | $40.74 | $72.44 | $85.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $575.44 | Facility | None | $107.15 | $208.93 | $575.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $50.12 Median $102.33 Typical High $190.55 | Professional | None | $50.12 | $102.33 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $134.90 Typical High $234.42 | Facility | None | $74.13 | $134.90 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $147.91 | Professional | None | $48.98 | $74.13 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $58.88 Median $117.49 Typical High $204.17 | Professional | None | $58.88 | $117.49 | $204.17 |
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 $51.29 Median $56.23 Typical High $123.03 | Professional | None | $51.29 | $56.23 | $123.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $141.25 | Professional | None | $33.11 | $33.11 | $141.25 |
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 $45.71 Median $77.62 Typical High $144.54 | Professional | None | $45.71 | $77.62 | $144.54 |
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 $20.89 Median $36.31 Typical High $42.66 | Professional | 52 · Reduced service | $20.89 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $8.32 | $14.45 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $10.96 Typical High $12.88 | Professional | 55 · Aftercare only | $6.31 | $10.96 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $7.24 Typical High $8.51 | Professional | 56 · Pre-op care only | $4.17 | $7.24 | $8.51 |
Where Illinois sits
The same service costs 3.9 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· 40th of 51
$75.86
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.