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 $537.03 Median $2,089.30 Typical High $7,762.47 | Facility | None | $537.03 | $2,089.30 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $1,412.54 Typical High $2,290.87 | Professional | None | $158.49 | $1,412.54 | $2,290.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $295.12 Typical High $1,380.38 | Professional | 54 · Surgery only | $114.82 | $295.12 | $1,380.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,238.72 Median $5,623.41 Typical High $10,232.93 | Facility | None | $2,238.72 | $5,623.41 | $10,232.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $173.78 Median $707.95 Typical High $2,884.03 | Professional | None | $173.78 | $707.95 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $5,623.41 Typical High $7,413.10 | Facility | None | $1,548.82 | $5,623.41 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $407.38 Typical High $2,818.38 | Professional | None | $186.21 | $407.38 | $2,818.38 |
Hally Health Setting Professional Modifier None Typical Low $199.53 Median $2,041.74 Typical High $5,011.87 | Professional | None | $199.53 | $2,041.74 | $5,011.87 |
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 $186.21 Median $199.53 Typical High $2,041.74 | Professional | None | $186.21 | $199.53 | $2,041.74 |
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 $1,202.26 Median $3,311.31 Typical High $9,772.37 | Facility | None | $1,202.26 | $3,311.31 | $9,772.37 |
United Setting Professional Modifier None Typical Low $177.83 Median $1,621.81 Typical High $3,548.13 | Professional | None | $177.83 | $1,621.81 | $3,548.13 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $1,096.48 | $1,096.48 | $1,096.48 |
Where Illinois sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 23rd of 51
$1,820
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.