How much rates vary
Facilitymedian $2,818 · 10th to 90th $708 to $5,754Professionalmedian $324 · 10th to 90th $245 to $525
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 $302.00 Median $1,288.25 Typical High $5,623.41 | Facility | None | $302.00 | $1,288.25 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $467.74 | Professional | None | $223.87 | $281.84 | $467.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,754.40 | Facility | None | $2,511.89 | $3,467.37 | $5,754.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $426.58 | Professional | None | $269.15 | $389.05 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,019.95 Typical High $3,801.89 | Facility | None | $630.96 | $3,019.95 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $436.52 | Professional | None | $269.15 | $323.59 | $436.52 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $1,548.82 | Professional | None | $251.19 | $389.05 | $1,548.82 |
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 $288.40 Median $316.23 Typical High $346.74 | Professional | None | $288.40 | $316.23 | $346.74 |
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 $1,047.13 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 $257.04 Median $331.13 Typical High $562.34 | Professional | None | $257.04 | $331.13 | $562.34 |
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 $112.20 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $165.96 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $33.11 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $22.39 | $28.18 | $28.18 |
Where Illinois sits
The same service costs 8.5 times more in Colorado 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
CO $6,252MT $735
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.