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 $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 $1,380.38 Median $1,548.82 Typical High $3,162.28 | Professional | None | $1,380.38 | $1,548.82 | $3,162.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $14,454.40 | Facility | None | $4,786.30 | $7,079.46 | $14,454.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,862.09 | $2,089.30 |
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 $1,380.38 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,819.70 | $2,511.89 |
Hally Health Setting Professional Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $4,897.79 | Professional | None | $1,230.27 | $2,041.74 | $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 $1,348.96 Median $1,621.81 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,621.81 | $1,819.70 |
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 $1,380.38 Median $1,949.84 Typical High $2,951.21 | Professional | None | $1,380.38 | $1,949.84 | $2,951.21 |
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 $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,023.29 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $954.99 | $1,071.52 | $1,071.52 |
Where Illinois sits
The same service costs 5.4 times more in Wisconsin 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· 29th of 51
$1,995
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.