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 $489.78 Median $1,621.81 Typical High $7,762.47 | Facility | None | $489.78 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $3,235.94 | Professional | None | $436.52 | $489.78 | $3,235.94 |
BCBS Illinois Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $489.78 | Professional | None | $407.38 | $467.74 | $489.78 |
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 $446.68 Median $588.84 Typical High $776.25 | Professional | None | $446.68 | $588.84 | $776.25 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $912.01 Typical High $8,912.51 | Professional | None | $436.52 | $912.01 | $8,912.51 |
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 $512.86 Median $524.81 Typical High $3,311.31 | Professional | None | $512.86 | $524.81 | $3,311.31 |
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 $398.11 Median $501.19 Typical High $870.96 | Professional | None | $398.11 | $501.19 | $870.96 |
3 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 $323.59 Median $363.08 Typical High $512.86 | Professional | 54 · Surgery only | $323.59 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $72.44 Typical High $102.33 | Professional | 55 · Aftercare only | $66.07 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $48.98 Typical High $67.61 | Professional | 56 · Pre-op care only | $43.65 | $48.98 | $67.61 |
Where Illinois sits
The same service costs 7.1 times more in Wisconsin than in New York. 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· 38th of 51
$589
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.