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 $61.66 Median $1,202.26 Typical High $7,762.47 | Facility | None | $61.66 | $1,202.26 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $128.82 | Professional | None | $57.54 | $91.20 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $398.11 Median $851.14 Typical High $1,737.80 | Facility | None | $398.11 | $851.14 | $1,737.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $181.97 | Professional | None | $54.95 | $100.00 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $2,691.53 | Facility | None | $676.08 | $870.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $151.36 | Professional | None | $56.23 | $87.10 | $151.36 |
Hally Health Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $363.08 | Professional | None | $69.18 | $114.82 | $363.08 |
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 $63.10 Median $64.57 Typical High $112.20 | Professional | None | $63.10 | $64.57 | $112.20 |
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 $63.10 Median $102.33 Typical High $181.97 | Professional | None | $63.10 | $102.33 | $181.97 |
5 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 52 · Reduced service Typical Low $28.84 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $28.84 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $11.48 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $63.10 Typical High $74.13 | Professional | 54 · Surgery only | $42.66 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.59 Typical High $14.79 | Professional | 55 · Aftercare only | $8.71 | $12.59 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.51 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.75 | $8.51 | $9.77 |
Where Illinois sits
The same service costs 3.7 times more in Wisconsin 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· 32nd of 51
$100
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.