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 $338.84 Median $1,445.44 Typical High $5,623.41 | Facility | None | $338.84 | $1,445.44 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | None | $120.23 | $128.82 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $977.24 Median $1,348.96 Typical High $2,398.83 | Facility | None | $977.24 | $1,348.96 | $2,398.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $218.78 | Professional | None | $144.54 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,548.82 | Facility | None | $741.31 | $1,202.26 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $218.78 | Professional | None | $117.49 | $131.83 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $562.34 | Professional | None | $35.48 | $51.29 | $562.34 |
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 $40.74 Median $41.69 Typical High $45.71 | Professional | None | $40.74 | $41.69 | $45.71 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | None | $39.81 | $41.69 | $41.69 |
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 $125.89 Median $144.54 Typical High $234.42 | Professional | None | $125.89 | $144.54 | $234.42 |
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 $60.26 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 54 · Surgery only | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $18.20 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.02 | $12.88 | $12.88 |
Where Illinois sits
The same service costs 6.0 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· 41st of 51
$132
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.