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 $190.55 Median $1,445.44 Typical High $3,388.44 | Professional | None | $190.55 | $1,445.44 | $3,388.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $331.13 Typical High $1,412.54 | Professional | 54 · Surgery only | $131.83 | $331.13 | $1,412.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $10,232.93 | Facility | None | $2,137.96 | $2,951.21 | $10,232.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $194.98 Median $794.33 Typical High $2,884.03 | Professional | None | $194.98 | $794.33 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,513.56 | $2,818.38 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $489.78 Typical High $4,897.79 | Professional | None | $208.93 | $489.78 | $4,897.79 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $2,041.74 Typical High $5,128.61 | Professional | None | $229.09 | $2,041.74 | $5,128.61 |
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 $208.93 Median $229.09 Typical High $2,089.30 | Professional | None | $208.93 | $229.09 | $2,089.30 |
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 $1,202.26 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 $208.93 Median $1,621.81 Typical High $4,677.35 | Professional | None | $208.93 | $1,621.81 | $4,677.35 |
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 50 · Both sides Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | 50 · Both sides | $2,238.72 | $2,238.72 | $2,238.72 |
Where Illinois sits
The same service costs 10.5 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· 22nd of 51
$1,862
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.