How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,047 to $6,457Professionalmedian $468 · 10th to 90th $355 to $724
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 $724.44 Median $3,235.94 Typical High $7,762.47 | Facility | None | $724.44 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $575.44 | Professional | None | $323.59 | $407.38 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $6,456.54 | Facility | None | $2,570.40 | $3,801.89 | $6,456.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $616.60 | Professional | None | $389.05 | $562.34 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,019.95 Typical High $3,801.89 | Facility | None | $891.25 | $3,019.95 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $645.65 | Professional | None | $380.19 | $467.74 | $645.65 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $1,995.26 | Professional | None | $354.81 | $588.84 | $1,995.26 |
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 $416.87 Median $457.09 Typical High $501.19 | Professional | None | $416.87 | $457.09 | $501.19 |
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 $1,047.13 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,454.71 | $7,585.78 |
United Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $831.76 | Professional | None | $371.54 | $478.63 | $831.76 |
3 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 $245.47 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $245.47 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $48.98 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $32.36 | $40.74 | $40.74 |
Where Illinois sits
The same service costs 6.7 times more in Oklahoma than in Montana. 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.
Physician feeFacility fee
OK $7,024MT $1,050
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.