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 $398.11 Median $1,621.81 Typical High $7,762.47 | Facility | None | $398.11 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $562.34 | Professional | None | $309.03 | $398.11 | $562.34 |
BCBS Illinois Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $416.87 | Professional | None | $354.81 | $407.38 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $2,511.89 | Facility | None | $512.86 | $758.58 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $645.65 | Professional | None | $363.08 | $489.78 | $645.65 |
Hally Health Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $3,548.13 | Professional | None | $363.08 | $602.56 | $3,548.13 |
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 $446.68 Median $457.09 Typical High $524.81 | Professional | None | $446.68 | $457.09 | $524.81 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $7,079.46 | Facility | None | $489.78 | $1,258.93 | $7,079.46 |
United Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $758.58 | Professional | None | $316.23 | $436.52 | $758.58 |
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 $234.42 Median $302.00 Typical High $323.59 | Professional | 54 · Surgery only | $234.42 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $60.26 Typical High $64.57 | Professional | 55 · Aftercare only | $46.77 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $39.81 Typical High $43.65 | Professional | 56 · Pre-op care only | $30.90 | $39.81 | $43.65 |
Where Illinois sits
The same service costs 9.8 times more in Indiana than in Hawaii. 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· 38th of 51
$447
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.