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 $933.25 Median $2,454.71 Typical High $7,762.47 | Facility | None | $933.25 | $2,454.71 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,454.71 | $3,090.30 |
BCBS Illinois Setting Facility Modifier None Typical Low $10,715.19 Median $22,908.68 Typical High $46,773.51 | Facility | None | $10,715.19 | $22,908.68 | $46,773.51 |
BCBS Illinois Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,981.07 | Professional | None | $2,454.71 | $2,951.21 | $3,981.07 |
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 $2,187.76 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,187.76 | $2,818.38 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $8,317.64 | Professional | None | $1,949.84 | $3,235.94 | $8,317.64 |
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 $2,187.76 Median $2,511.89 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,511.89 | $2,818.38 |
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 $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 $2,187.76 Median $3,019.95 Typical High $4,677.35 | Professional | None | $2,187.76 | $3,019.95 | $4,677.35 |
2 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 $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,621.81 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,698.24 | $1,698.24 |
Where Illinois sits
The same service costs 5.8 times more in Alaska than in Texas. 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· 27th of 51
$2,692
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.