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 $69.18 Median $275.42 Typical High $4,168.69 | Facility | None | $69.18 | $275.42 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $239.88 | Professional | None | $53.70 | $100.00 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $181.97 | Professional | None | $74.13 | $74.13 | $181.97 |
BCBS Illinois Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $1,288.25 | Facility | None | $169.82 | $208.93 | $1,288.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $66.07 Median $169.82 Typical High $309.03 | Professional | None | $66.07 | $169.82 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $812.83 | Facility | None | $50.12 | $66.07 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $245.47 | Professional | None | $69.18 | $117.49 | $245.47 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $190.55 Typical High $363.08 | Professional | None | $77.62 | $190.55 | $363.08 |
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 $64.57 Median $72.44 Typical High $208.93 | Professional | None | $64.57 | $72.44 | $208.93 |
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 $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 $63.10 Median $117.49 Typical High $269.15 | Professional | None | $63.10 | $117.49 | $269.15 |
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 $28.18 Median $50.12 Typical High $89.13 | Professional | 52 · Reduced service | $28.18 | $50.12 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $19.95 Typical High $35.48 | Professional | 53 · Discontinued | $11.22 | $19.95 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $75.86 Typical High $131.83 | Professional | 54 · Surgery only | $41.69 | $75.86 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $15.14 Typical High $26.30 | Professional | 55 · Aftercare only | $8.32 | $15.14 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $10.00 Typical High $17.78 | Professional | 56 · Pre-op care only | $5.62 | $10.00 | $17.78 |
Where Illinois sits
The same service costs 4.0 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· 31st of 51
$129
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.