How much rates vary
Facilitymedian $1,738 · 10th to 90th $741 to $4,365Professionalmedian $295 · 10th to 90th $191 to $457
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 $630.96 Median $3,235.94 Typical High $9,332.54 | Facility | None | $630.96 | $3,235.94 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $316.23 | Professional | None | $186.21 | $208.93 | $316.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,905.46 | $2,884.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $363.08 | Professional | None | $234.42 | $295.12 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,584.89 Typical High $2,041.74 | Facility | None | $776.25 | $1,584.89 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $380.19 | Professional | None | $223.87 | $309.03 | $380.19 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $1,778.28 | Professional | None | $204.17 | $338.84 | $1,778.28 |
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 $229.09 Median $257.04 Typical High $288.40 | Professional | None | $229.09 | $257.04 | $288.40 |
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 $676.08 Median $1,513.56 Typical High $4,168.69 | Facility | None | $676.08 | $1,513.56 | $4,168.69 |
United Setting Professional Modifier None Typical Low $173.78 Median $331.13 Typical High $489.78 | Professional | None | $173.78 | $331.13 | $489.78 |
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 $93.33 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $37.15 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | 54 · Surgery only | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $27.54 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $18.62 | $20.89 | $20.89 |
Where Illinois sits
The same service costs 7.6 times more in Colorado than in Montana. 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
CO $4,681MT $618
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.