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 $346.74 Median $1,318.26 Typical High $5,623.41 | Facility | None | $346.74 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $363.08 | Professional | None | $208.93 | $323.59 | $363.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $2,691.53 | Facility | None | $436.52 | $707.95 | $2,691.53 |
BCBS Illinois Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $676.08 | Professional | None | $346.74 | $346.74 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $588.84 Typical High $870.96 | Facility | None | $416.87 | $588.84 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $562.34 | Professional | None | $154.88 | $251.19 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $1,023.29 | Professional | None | $234.42 | $436.52 | $1,023.29 |
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 $239.88 Median $257.04 Typical High $478.63 | Professional | None | $239.88 | $257.04 | $478.63 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | None | $33.11 | $33.11 | $50.12 |
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 $190.55 Median $302.00 Typical High $616.60 | Professional | None | $190.55 | $302.00 | $616.60 |
6 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 $104.71 Median $162.18 Typical High $177.83 | Professional | 52 · Reduced service | $104.71 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $64.57 Typical High $72.44 | Professional | 53 · Discontinued | $41.69 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $245.47 Typical High $269.15 | Professional | 54 · Surgery only | $154.88 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $48.98 Typical High $53.70 | Professional | 55 · Aftercare only | $30.90 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $32.36 Typical High $36.31 | Professional | 56 · Pre-op care only | $20.89 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $229.09 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $144.54 | $229.09 | $251.19 |
Where Illinois sits
The same service costs 3.5 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· 38th of 51
$288
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.