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 $831.76 Median $2,290.87 Typical High $7,762.47 | Facility | None | $831.76 | $2,290.87 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,548.82 | $1,698.24 | $1,737.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,623.41 Median $8,709.64 Typical High $22,387.21 | Facility | None | $5,623.41 | $8,709.64 | $22,387.21 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $3,162.28 | Professional | None | $1,949.84 | $2,691.53 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $6,606.93 Typical High $8,709.64 | Facility | None | $776.25 | $6,606.93 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,698.24 | $1,949.84 | $2,884.03 |
Hally Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $10,000.00 | Professional | None | $1,819.70 | $2,754.23 | $10,000.00 |
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 $1,949.84 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,949.84 | $2,137.96 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $181.97 Typical High $1,862.09 | Professional | None | $33.11 | $181.97 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $4,897.79 Typical High $15,488.17 | Facility | None | $1,479.11 | $4,897.79 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,905.46 | $3,311.31 |
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 54 · Surgery only Typical Low $1,148.15 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,148.15 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $154.88 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,202.26 | $1,202.26 |
Where Illinois sits
The same service costs 7.8 times more in Alaska than in Texas. 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· 34th of 51
$1,950
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.