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 $512.86 Median $1,621.81 Typical High $7,762.47 | Facility | None | $512.86 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $549.54 | Professional | None | $263.03 | $512.86 | $549.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,466.84 Median $6,165.95 Typical High $10,000.00 | Facility | None | $4,466.84 | $6,165.95 | $10,000.00 |
BCBS Illinois Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $776.25 | Professional | None | $489.78 | $691.83 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $5,370.32 Typical High $6,760.83 | Facility | None | $776.25 | $5,370.32 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $676.08 | Professional | None | $309.03 | $467.74 | $676.08 |
Hally Health Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,445.44 | Professional | None | $380.19 | $691.83 | $1,445.44 |
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 $524.81 Median $562.34 Typical High $616.60 | Professional | None | $524.81 | $562.34 | $616.60 |
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 $7,943.28 | Facility | None | $1,047.13 | $2,454.71 | $7,943.28 |
United Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $1,023.29 | Professional | None | $288.40 | $478.63 | $1,023.29 |
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 $204.17 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $302.00 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $60.26 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $40.74 | $51.29 | $51.29 |
Where Illinois sits
The same service costs 5.2 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· 21st of 51
$646
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.