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 $3,019.95 Typical High $7,762.47 | Facility | None | $933.25 | $3,019.95 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $3,388.44 | Professional | None | $2,511.89 | $3,019.95 | $3,388.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $13,182.57 Median $28,183.83 Typical High $56,234.13 | Facility | None | $13,182.57 | $28,183.83 | $56,234.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $2,951.21 Median $3,548.13 Typical High $4,365.16 | Professional | None | $2,951.21 | $3,548.13 | $4,365.16 |
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 $2,630.27 Median $3,388.44 Typical High $4,897.79 | Professional | None | $2,630.27 | $3,388.44 | $4,897.79 |
Hally Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $8,317.64 | Professional | None | $2,398.83 | $3,981.07 | $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 $2,630.27 Median $3,090.30 Typical High $3,467.37 | Professional | None | $2,630.27 | $3,090.30 | $3,467.37 |
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 $2,691.53 Median $3,630.78 Typical High $5,754.40 | Professional | None | $2,691.53 | $3,630.78 | $5,754.40 |
1 more rate 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 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,089.30 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,089.30 | $2,089.30 |
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· 25th of 51
$3,311
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.