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 $72.44 Median $97.72 Typical High $288.40 | Facility | None | $72.44 | $97.72 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $107.15 | Professional | None | $74.13 | $91.20 | $107.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $109.65 Median $288.40 Typical High $1,000.00 | Facility | None | $109.65 | $288.40 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $229.09 | Facility | None | $70.79 | $131.83 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $181.97 | Professional | None | $83.18 | $102.33 | $181.97 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $316.23 | Professional | None | $100.00 | $151.36 | $316.23 |
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 $89.13 Median $97.72 Typical High $151.36 | Professional | None | $89.13 | $97.72 | $151.36 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $173.78 | Professional | None | $33.11 | $33.11 | $173.78 |
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 $77.62 Median $104.71 Typical High $186.21 | Professional | None | $77.62 | $104.71 | $186.21 |
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 $36.31 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $36.31 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.20 Typical High $21.88 | Professional | 53 · Discontinued | $14.79 | $18.20 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.49 Typical High $16.22 | Professional | 55 · Aftercare only | $10.96 | $13.49 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.12 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.41 | $9.12 | $10.96 |
Where Illinois sits
The same service costs 3.8 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· 35th of 51
$105
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.