How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,514 to $12,303Professionalmedian $1,778 · 10th to 90th $1,318 to $2,630
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 $1,023.29 Median $3,235.94 Typical High $7,762.47 | Facility | None | $1,023.29 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,318.26 | $1,479.11 | $3,019.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $14,125.38 | Facility | None | $4,786.30 | $7,079.46 | $14,125.38 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,778.28 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $5,754.40 Typical High $7,244.36 | Facility | None | $1,778.28 | $5,754.40 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,398.83 | Professional | None | $1,318.26 | $1,698.24 | $2,398.83 |
Hally Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $4,897.79 | Professional | None | $1,174.90 | $1,949.84 | $4,897.79 |
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 $1,288.25 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,548.82 | $1,737.80 |
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 $1,479.11 Median $5,011.87 Typical High $13,489.63 | Facility | None | $1,479.11 | $5,011.87 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,318.26 | $1,862.09 | $2,884.03 |
2 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 $1,000.00 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,000.00 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $912.01 | $1,047.13 | $1,047.13 |
Where Illinois sits
The same service costs 4.2 times more in Alaska than in Kentucky. 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 $12,806KY $3,047
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.