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 $446.68 Median $1,862.09 Typical High $5,888.44 | Facility | None | $446.68 | $1,862.09 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | None | $114.82 | $123.03 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $1,698.24 | Facility | None | $371.54 | $562.34 | $1,698.24 |
BCBS Illinois Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $194.98 | Professional | None | $107.15 | $186.21 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $812.83 | Facility | None | $346.74 | $489.78 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $158.49 | Professional | None | $107.15 | $123.03 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $645.65 | Professional | None | $114.82 | $162.18 | $645.65 |
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 $128.82 Median $134.90 Typical High $144.54 | Professional | None | $128.82 | $134.90 | $144.54 |
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 $104.71 Median $120.23 Typical High $204.17 | Professional | None | $104.71 | $120.23 | $204.17 |
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 $57.54 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 54 · Surgery only | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $16.98 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $11.48 | $12.30 | $12.30 |
Where Illinois sits
The same service costs 4.8 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· 35th 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.