How much rates vary
Facilitymedian $4,169 · 10th to 90th $977 to $9,772Professionalmedian $447 · 10th to 90th $380 to $646
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 $512.86 Median $1,905.46 Typical High $5,623.41 | Facility | None | $512.86 | $1,905.46 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $562.34 | Professional | None | $380.19 | $389.05 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | None | $295.12 | $295.12 | $338.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,677.35 Median $7,762.47 Typical High $10,000.00 | Facility | None | $4,677.35 | $7,762.47 | $10,000.00 |
BCBS Illinois Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $616.60 | Professional | None | $407.38 | $489.78 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $7,585.78 Typical High $10,000.00 | Facility | None | $630.96 | $7,585.78 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $630.96 | Professional | None | $416.87 | $467.74 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $1,737.80 | Professional | None | $407.38 | $575.44 | $1,737.80 |
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 $457.09 Median $489.78 Typical High $524.81 | Professional | None | $457.09 | $489.78 | $524.81 |
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 $1,047.13 Median $2,398.83 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,398.83 | $7,585.78 |
United Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $758.58 | Professional | None | $398.11 | $467.74 | $758.58 |
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 $190.55 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $190.55 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $281.84 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.02 | $38.90 | $38.90 |
Where Illinois sits
The same service costs 6.9 times more in Alaska 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
AK $8,267MT $1,191
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.