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 $371.54 Median $1,621.81 Typical High $5,623.41 | Facility | None | $371.54 | $1,621.81 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $1,000.00 Typical High $1,698.24 | Professional | None | $316.23 | $1,000.00 | $1,698.24 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $870.96 | Professional | None | $295.12 | $398.11 | $870.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $5,495.41 | Facility | None | $2,454.71 | $3,630.78 | $5,495.41 |
BCBS Illinois Setting Professional Modifier None Typical Low $331.13 Median $1,047.13 Typical High $2,187.76 | Professional | None | $331.13 | $1,047.13 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $3,801.89 | Facility | None | $1,584.89 | $2,951.21 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $831.76 Typical High $2,398.83 | Professional | None | $323.59 | $831.76 | $2,398.83 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $1,258.93 Typical High $3,890.45 | Professional | None | $346.74 | $1,258.93 | $3,890.45 |
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 $309.03 Median $354.81 Typical High $1,258.93 | Professional | None | $309.03 | $354.81 | $1,258.93 |
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 $1,174.90 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,174.90 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $331.13 Median $977.24 Typical High $2,290.87 | Professional | None | $331.13 | $977.24 | $2,290.87 |
3 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 $229.09 Median $691.83 Typical High $851.14 | Professional | 54 · Surgery only | $229.09 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $138.04 Typical High $169.82 | Professional | 55 · Aftercare only | $45.71 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $91.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $30.20 | $91.20 | $114.82 |
Where Illinois sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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· 35th of 51
$1,148
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.