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 $331.13 Median $1,445.44 Typical High $5,623.41 | Facility | None | $331.13 | $1,445.44 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $114.82 | Professional | None | $104.71 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | 54 · Surgery only | $79.43 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $15.85 | $16.60 | $16.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $575.44 Median $758.58 Typical High $1,548.82 | Facility | None | $575.44 | $758.58 | $1,548.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $239.88 | Professional | None | $104.71 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,995.26 | Facility | None | $501.19 | $776.25 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $147.91 | Professional | None | $100.00 | $131.83 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $512.86 | Professional | None | $102.33 | $144.54 | $512.86 |
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 $114.82 Median $120.23 Typical High $128.82 | Professional | None | $114.82 | $120.23 | $128.82 |
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 $141.25 Median $501.19 Typical High $1,819.70 | Facility | None | $141.25 | $501.19 | $1,819.70 |
United Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $199.53 | Professional | None | $107.15 | $128.82 | $199.53 |
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 56 · Pre-op care only Typical Low $10.47 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.47 | $11.22 | $11.22 |
Where Illinois sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 33rd of 51
$123
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.