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 $4,365.16 Typical High $8,912.51 | Facility | None | $933.25 | $4,365.16 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $4,570.88 | Professional | None | $3,630.78 | $4,365.16 | $4,570.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $19,054.61 Median $40,738.03 Typical High $81,283.05 | Facility | None | $19,054.61 | $40,738.03 | $81,283.05 |
BCBS Illinois Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $7,079.46 | Professional | None | $4,365.16 | $5,128.61 | $7,079.46 |
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 $3,801.89 Median $5,128.61 Typical High $6,918.31 | Professional | None | $3,801.89 | $5,128.61 | $6,918.31 |
Hally Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,754.40 Typical High $12,302.69 | Professional | None | $3,467.37 | $5,754.40 | $12,302.69 |
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 $3,801.89 Median $4,466.84 Typical High $5,011.87 | Professional | None | $3,801.89 | $4,466.84 | $5,011.87 |
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 $3,890.45 Median $5,495.41 Typical High $8,317.64 | Professional | None | $3,890.45 | $5,495.41 | $8,317.64 |
4 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 $1,949.84 Median $2,137.96 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,949.84 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | 53 · Discontinued | $776.25 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,235.94 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,884.03 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $3,019.95 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,691.53 | $3,019.95 | $3,019.95 |
Where Illinois sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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· 25th of 51
$4,677
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.