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 $281.84 Median $1,737.80 Typical High $5,623.41 | Facility | None | $281.84 | $1,737.80 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $295.12 | Professional | None | $123.03 | $234.42 | $295.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $977.24 Median $1,445.44 Typical High $2,754.23 | Facility | None | $977.24 | $1,445.44 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $134.90 Median $281.84 Typical High $549.54 | Professional | None | $134.90 | $281.84 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $1,548.82 | Facility | None | $630.96 | $1,174.90 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $426.58 | Professional | None | $134.90 | $208.93 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $309.03 Typical High $630.96 | Professional | None | $144.54 | $309.03 | $630.96 |
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 $123.03 Median $144.54 Typical High $316.23 | Professional | None | $123.03 | $144.54 | $316.23 |
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 $446.68 Median $1,047.13 Typical High $3,715.35 | Facility | None | $446.68 | $1,047.13 | $3,715.35 |
United Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $467.74 | Professional | None | $128.82 | $245.47 | $467.74 |
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 $61.66 Median $109.65 Typical High $138.04 | Professional | 52 · Reduced service | $61.66 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $44.67 Typical High $56.23 | Professional | 53 · Discontinued | $24.55 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $165.96 Typical High $208.93 | Professional | 54 · Surgery only | $93.33 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $33.11 Typical High $41.69 | Professional | 55 · Aftercare only | $18.62 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $22.39 Typical High $28.18 | Professional | 56 · Pre-op care only | $12.30 | $22.39 | $28.18 |
Where Illinois sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 27th of 51
$282
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.