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 $912.01 Median $1,905.46 Typical High $7,762.47 | Facility | None | $912.01 | $1,905.46 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,288.25 | Professional | None | $912.01 | $1,023.29 | $1,288.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,466.84 Median $9,549.93 Typical High $19,498.45 | Facility | None | $4,466.84 | $9,549.93 | $19,498.45 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,230.27 | $1,348.96 |
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 $912.01 Median $1,258.93 Typical High $1,737.80 | Professional | None | $912.01 | $1,258.93 | $1,737.80 |
Hally Health Setting Professional Modifier None Typical Low $794.33 Median $1,318.26 Typical High $3,630.78 | Professional | None | $794.33 | $1,318.26 | $3,630.78 |
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 $912.01 Median $1,071.52 Typical High $1,174.90 | Professional | None | $912.01 | $1,071.52 | $1,174.90 |
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 $933.25 Median $1,380.38 Typical High $2,089.30 | Professional | None | $933.25 | $1,380.38 | $2,089.30 |
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 54 · Surgery only Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $691.83 | $758.58 | $758.58 |
Where Illinois sits
The same service costs 3.7 times more in Alaska 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· 26th of 51
$1,230
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.