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 $2,511.89 Typical High $7,762.47 | Facility | None | $933.25 | $2,511.89 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $3,162.28 | Professional | None | $2,238.72 | $2,511.89 | $3,162.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $11,220.18 Median $23,988.33 Typical High $47,863.01 | Facility | None | $11,220.18 | $23,988.33 | $47,863.01 |
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 $2,238.72 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,238.72 | $2,951.21 | $4,073.80 |
Hally Health Setting Professional Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $7,413.10 | Professional | None | $1,995.26 | $3,311.31 | $7,413.10 |
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 $2,238.72 Median $2,630.27 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,630.27 | $2,951.21 |
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 $2,137.96 Median $3,162.28 Typical High $4,786.30 | Professional | None | $2,137.96 | $3,162.28 | $4,786.30 |
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 $1,698.24 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,698.24 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,737.80 | $1,737.80 |
Where Illinois sits
The same service costs 5.5 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.