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 $1,318.26 Typical High $5,623.41 | Facility | None | $331.13 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $575.44 | Professional | None | $147.91 | $316.23 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $4,677.35 | Facility | None | $1,096.48 | $2,344.23 | $4,677.35 |
BCBS Illinois Setting Professional Modifier None Typical Low $162.18 Median $338.84 Typical High $707.95 | Professional | None | $162.18 | $338.84 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,548.82 Typical High $2,691.53 | Facility | None | $676.08 | $1,548.82 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $309.03 Typical High $537.03 | Professional | None | $165.96 | $309.03 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $1,380.38 | Professional | None | $173.78 | $407.38 | $1,380.38 |
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 $151.36 Median $173.78 Typical High $407.38 | Professional | None | $151.36 | $173.78 | $407.38 |
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 $138.04 Median $457.09 Typical High $1,949.84 | Facility | None | $138.04 | $457.09 | $1,949.84 |
United Setting Professional Modifier None Typical Low $162.18 Median $331.13 Typical High $676.08 | Professional | None | $162.18 | $331.13 | $676.08 |
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 $112.20 Median $223.87 Typical High $269.15 | Professional | 54 · Surgery only | $112.20 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $44.67 Typical High $53.70 | Professional | 55 · Aftercare only | $22.39 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $29.51 Typical High $35.48 | Professional | 56 · Pre-op care only | $14.79 | $29.51 | $35.48 |
Where Illinois sits
The same service costs 3.4 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· 31st of 51
$355
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.