How much rates vary
Facilitymedian $3,890 · 10th to 90th $955 to $10,715Professionalmedian $1,023 · 10th to 90th $794 to $1,698
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 $954.99 Median $4,168.69 Typical High $9,549.93 | Facility | None | $954.99 | $4,168.69 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,348.96 | Professional | None | $724.44 | $954.99 | $1,348.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,265.80 Median $9,120.11 Typical High $18,197.01 | Facility | None | $4,265.80 | $9,120.11 | $18,197.01 |
BCBS Illinois Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,071.52 | Professional | None | $794.33 | $954.99 | $1,071.52 |
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 $831.76 Median $1,122.02 Typical High $1,380.38 | Professional | None | $831.76 | $1,122.02 | $1,380.38 |
Hally Health Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $2,951.21 | Professional | None | $758.58 | $1,258.93 | $2,951.21 |
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 $870.96 Median $1,000.00 Typical High $1,096.48 | Professional | None | $870.96 | $1,000.00 | $1,096.48 |
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 $3,981.07 Typical High $10,471.29 | Facility | None | $1,288.25 | $3,981.07 | $10,471.29 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,862.09 | Professional | None | $851.14 | $1,258.93 | $1,862.09 |
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 $426.58 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $173.78 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $645.65 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $95.50 |
Where Illinois sits
The same service costs 8.4 times more in Alabama 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.
Physician feeFacility fee
AL $15,863KY $1,884
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.