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 $10.72 Median $11.48 Typical High $30.20 | Facility | None | $10.72 | $11.48 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $11.75 | Professional | None | $10.72 | $11.48 | $11.75 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $446.68 Typical High $630.96 | Facility | None | $151.36 | $446.68 | $630.96 |
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 $12.59 Median $17.38 Typical High $81.28 | Professional | None | $12.59 | $17.38 | $81.28 |
Hally Health Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $72.44 | Professional | None | $12.30 | $19.05 | $72.44 |
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 $14.13 Median $14.79 Typical High $15.85 | Professional | None | $14.13 | $14.79 | $15.85 |
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 $11.22 Median $16.22 Typical High $25.70 | Professional | None | $11.22 | $16.22 | $25.70 |
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 $5.25 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.25 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.14 | $2.29 | $2.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.74 Typical High $1.78 | Professional | 55 · Aftercare only | $1.58 | $1.74 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.15 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.07 | $1.15 | $1.17 |
Where Illinois sits
The same service costs 12.3 times more in Florida 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· 26th of 51
$19.50
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.