How much rates vary
Facilitymedian $1,413 · 10th to 90th $490 to $6,607Professionalmedian $447 · 10th to 90th $339 to $676
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 $380.19 Median $1,621.81 Typical High $7,762.47 | Facility | None | $380.19 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $575.44 | Professional | None | $323.59 | $380.19 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,659.59 Median $3,548.13 Typical High $7,244.36 | Facility | None | $1,659.59 | $3,548.13 | $7,244.36 |
BCBS Illinois Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $489.78 | Professional | None | $363.08 | $446.68 | $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 $338.84 Median $446.68 Typical High $602.56 | Professional | None | $338.84 | $446.68 | $602.56 |
Hally Health Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $1,258.93 | Professional | None | $316.23 | $501.19 | $1,258.93 |
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 $346.74 Median $398.11 Typical High $436.52 | Professional | None | $346.74 | $398.11 | $436.52 |
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 $338.84 Median $489.78 Typical High $724.44 | Professional | None | $338.84 | $489.78 | $724.44 |
5 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 $169.82 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $169.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $33.88 | $38.02 | $38.02 |
Where Illinois sits
The same service costs 6.1 times more in Alaska than in Maryland. 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.
Physician feeFacility fee
AK $5,496MD $901
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.