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 $1,621.81 Typical High $5,623.41 | Facility | None | $346.74 | $1,621.81 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $141.25 | Professional | None | $131.83 | $134.90 | $141.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,737.80 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,621.81 Typical High $2,041.74 | Facility | None | $478.63 | $1,621.81 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $269.15 | Professional | None | $144.54 | $204.17 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $758.58 | Professional | None | $141.25 | $208.93 | $758.58 |
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 $158.49 Median $169.82 Typical High $181.97 | Professional | None | $158.49 | $169.82 | $181.97 |
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 $4,365.16 | Facility | None | $676.08 | $1,513.56 | $4,365.16 |
United Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $323.59 | Professional | None | $144.54 | $245.47 | $323.59 |
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 $64.57 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $64.57 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | 54 · Surgery only | $97.72 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $19.50 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.18 | $13.49 | $13.49 |
Where Illinois sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 31st of 51
$191
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.