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 $2,630.27 Typical High $7,762.47 | Facility | None | $933.25 | $2,630.27 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,630.27 | $3,311.31 |
BCBS Illinois Setting Facility Modifier None Typical Low $11,481.54 Median $24,547.09 Typical High $48,977.88 | Facility | None | $11,481.54 | $24,547.09 | $48,977.88 |
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 $2,290.87 Median $3,019.95 Typical High $4,168.69 | Professional | None | $2,290.87 | $3,019.95 | $4,168.69 |
Hally Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $7,585.78 | Professional | None | $2,089.30 | $3,467.37 | $7,585.78 |
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 $2,290.87 Median $2,691.53 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,691.53 | $3,019.95 |
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 $3,311.31 Typical High $4,897.79 | Professional | None | $2,187.76 | $3,311.31 | $4,897.79 |
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 $1,737.80 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,737.80 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,819.70 | $1,819.70 |
Where Illinois sits
The same service costs 5.2 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· 28th of 51
$2,818
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.