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 $75.86 Median $1,318.26 Typical High $5,623.41 | Facility | None | $75.86 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $87.10 | Professional | None | $60.26 | $72.44 | $87.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $2,238.72 | Facility | None | $74.13 | $117.49 | $2,238.72 |
BCBS Illinois Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $114.82 | Professional | None | $63.10 | $89.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $537.03 | Facility | None | $69.18 | $97.72 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $123.03 | Professional | None | $53.70 | $83.18 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $245.47 | Professional | None | $67.61 | $100.00 | $245.47 |
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 $70.79 Median $74.13 Typical High $102.33 | Professional | None | $70.79 | $74.13 | $102.33 |
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 $61.66 Median $85.11 Typical High $141.25 | Professional | None | $61.66 | $85.11 | $141.25 |
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 $30.20 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $30.20 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $12.02 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $52.48 Typical High $56.23 | Professional | 54 · Surgery only | $44.67 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.47 Typical High $11.48 | Professional | 55 · Aftercare only | $8.91 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.92 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.03 | $6.92 | $7.59 |
Where Illinois sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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· 33rd of 51
$81.28
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.