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 $588.84 Median $2,137.96 Typical High $7,762.47 | Facility | None | $588.84 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $676.08 | Professional | None | $436.52 | $562.34 | $676.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $6,456.54 Median $9,772.37 Typical High $15,488.17 | Facility | None | $6,456.54 | $9,772.37 | $15,488.17 |
BCBS Illinois Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $933.25 | Professional | None | $616.60 | $870.96 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $9,120.11 Typical High $11,481.54 | Facility | None | $776.25 | $9,120.11 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $954.99 | Professional | None | $524.81 | $724.44 | $954.99 |
Hally Health Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $2,137.96 | Professional | None | $478.63 | $758.58 | $2,137.96 |
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 $616.60 Typical High $691.83 | Professional | None | $524.81 | $616.60 | $691.83 |
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 $1,288.25 Median $4,073.80 Typical High $12,882.50 | Facility | None | $1,288.25 | $4,073.80 | $12,882.50 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,122.02 | Professional | None | $501.19 | $660.69 | $1,122.02 |
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 $218.78 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $218.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $331.13 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $43.65 | $56.23 | $56.23 |
Where Illinois sits
The same service costs 3.9 times more in Alaska than in New York. 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· 24th of 51
$794
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.