How much rates vary
Facilitymedian $4,365 · 10th to 90th $776 to $8,710Professionalmedian $575 · 10th to 90th $447 to $776
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 $537.03 Median $1,258.93 Typical High $5,888.44 | Facility | None | $537.03 | $1,258.93 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $660.69 | Professional | None | $446.68 | $457.09 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $537.03 | Professional | None | $363.08 | $537.03 | $537.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $9,332.54 | Facility | None | $4,786.30 | $7,244.36 | $9,332.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $724.44 | Professional | None | $478.63 | $575.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $6,606.93 Typical High $8,511.38 | Facility | None | $812.83 | $6,606.93 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | None | $489.78 | $630.96 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $2,137.96 | Professional | None | $467.74 | $691.83 | $2,137.96 |
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 $537.03 Median $575.44 Typical High $616.60 | Professional | None | $537.03 | $575.44 | $616.60 |
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 $2,454.71 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,454.71 | $7,585.78 |
United Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $933.25 | Professional | None | $489.78 | $588.84 | $933.25 |
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 $223.87 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $89.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $331.13 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $67.61 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $44.67 | $45.71 | $45.71 |
Where Illinois sits
The same service costs 6.1 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 $8,625MT $1,416
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.