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 $41.69 Median $58.88 Typical High $162.18 | Facility | None | $41.69 | $58.88 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $63.10 | Professional | None | $41.69 | $53.70 | $63.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $61.66 Median $208.93 Typical High $575.44 | Facility | None | $61.66 | $208.93 | $575.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $48.98 Median $81.28 Typical High $112.20 | Professional | None | $48.98 | $81.28 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $128.82 | Facility | None | $51.29 | $74.13 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $102.33 | Professional | None | $50.12 | $66.07 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $186.21 | Professional | None | $58.88 | $89.13 | $186.21 |
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 $89.13 | Professional | None | $51.29 | $56.23 | $89.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $97.72 | Professional | None | $33.11 | $33.11 | $97.72 |
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 $64.57 Typical High $109.65 | Professional | None | $45.71 | $64.57 | $109.65 |
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 $21.38 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $21.38 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.72 Typical High $12.59 | Professional | 53 · Discontinued | $8.51 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $8.13 Typical High $9.55 | Professional | 55 · Aftercare only | $6.46 | $8.13 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.37 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.27 | $5.37 | $6.31 |
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· 30th of 51
$67.61
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.