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 $70.79 Median $77.62 Typical High $199.53 | Facility | None | $70.79 | $77.62 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | None | $70.79 | $77.62 | $77.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $954.99 | Facility | None | $371.54 | $549.54 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $537.03 Typical High $1,513.56 | Facility | None | $380.19 | $537.03 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $141.25 | Professional | None | $81.28 | $95.50 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $1,445.44 | Professional | None | $83.18 | $125.89 | $1,445.44 |
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 $93.33 Median $100.00 Typical High $107.15 | Professional | None | $93.33 | $100.00 | $107.15 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 $74.13 Median $104.71 Typical High $165.96 | Professional | None | $74.13 | $104.71 | $165.96 |
4 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 $35.48 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $35.48 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $11.75 Typical High $12.02 | Professional | 55 · Aftercare only | $10.72 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.76 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.08 | $7.76 | $7.94 |
Where Illinois sits
The same service costs 4.5 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· 28th of 51
$115
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.