How much rates vary
Facilitymedian $16,596 · 10th to 90th $1,862 to $29,512Professionalmedian $5,129 · 10th to 90th $575 to $11,749
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 $933.25 Median $4,677.35 Typical High $14,125.38 | Facility | None | $933.25 | $4,677.35 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $5,248.07 Typical High $7,585.78 | Professional | None | $549.54 | $5,248.07 | $7,585.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $9,120.11 Median $22,387.21 Typical High $28,183.83 | Facility | None | $9,120.11 | $22,387.21 | $28,183.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $575.44 Median $2,398.83 Typical High $11,748.98 | Professional | None | $575.44 | $2,398.83 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $21,877.62 Typical High $27,542.29 | Facility | None | $776.25 | $21,877.62 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,258.93 Typical High $9,332.54 | Professional | None | $562.34 | $1,258.93 | $9,332.54 |
Hally Health Setting Professional Modifier None Typical Low $630.96 Median $6,606.93 Typical High $13,803.84 | Professional | None | $630.96 | $6,606.93 | $13,803.84 |
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 $575.44 Median $645.65 Typical High $6,606.93 | Professional | None | $575.44 | $645.65 | $6,606.93 |
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 $2,137.96 Median $13,489.63 Typical High $43,651.58 | Facility | None | $2,137.96 | $13,489.63 | $43,651.58 |
United Setting Professional Modifier None Typical Low $588.84 Median $5,495.41 Typical High $12,302.69 | Professional | None | $588.84 | $5,495.41 | $12,302.69 |
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 $275.42 Median $794.33 Typical High $3,090.30 | Professional | 52 · Reduced service | $275.42 | $794.33 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $323.59 Typical High $1,258.93 | Professional | 53 · Discontinued | $112.20 | $323.59 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $1,202.26 Typical High $4,677.35 | Professional | 54 · Surgery only | $416.87 | $1,202.26 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $239.88 Typical High $933.25 | Professional | 55 · Aftercare only | $83.18 | $239.88 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $162.18 Typical High $616.60 | Professional | 56 · Pre-op care only | $54.95 | $162.18 | $616.60 |
Where Illinois sits
The same service costs 6.1 times more in Alaska than in Vermont. 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.
Physician feeFacility fee
AK $33,081VT $5,424
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.