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 $758.58 Median $3,630.78 Typical High $14,125.38 | Facility | None | $758.58 | $3,630.78 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $2,187.76 Typical High $3,019.95 | Professional | None | $165.96 | $2,187.76 | $3,019.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,398.83 Median $7,413.10 Typical High $9,332.54 | Facility | None | $2,398.83 | $7,413.10 | $9,332.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $186.21 Median $758.58 Typical High $4,265.80 | Professional | None | $186.21 | $758.58 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $7,413.10 Typical High $9,332.54 | Facility | None | $776.25 | $7,413.10 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $3,981.07 | Professional | None | $199.53 | $416.87 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $3,090.30 Typical High $6,025.60 | Professional | None | $213.80 | $3,090.30 | $6,025.60 |
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 $199.53 Median $213.80 Typical High $3,090.30 | Professional | None | $199.53 | $213.80 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $12,882.50 | Facility | None | $1,288.25 | $4,073.80 | $12,882.50 |
United Setting Professional Modifier None Typical Low $186.21 Median $2,398.83 Typical High $5,888.44 | Professional | None | $186.21 | $2,398.83 | $5,888.44 |
5 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 $83.18 Median $213.80 Typical High $1,412.54 | Professional | 52 · Reduced service | $83.18 | $213.80 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $85.11 Typical High $562.34 | Professional | 53 · Discontinued | $33.11 | $85.11 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $316.23 Typical High $2,089.30 | Professional | 54 · Surgery only | $125.89 | $316.23 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $63.10 Typical High $416.87 | Professional | 55 · Aftercare only | $25.12 | $63.10 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $42.66 Typical High $281.84 | Professional | 56 · Pre-op care only | $16.60 | $42.66 | $281.84 |
Where Illinois sits
The same service costs 33.1 times more in Alaska than in Kentucky. 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· 18th of 51
$2,754
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.