How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,000 to $8,710Professionalmedian $603 · 10th to 90th $468 to $794
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 $588.84 Median $1,949.84 Typical High $7,762.47 | Facility | None | $588.84 | $1,949.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $676.08 | Professional | None | $467.74 | $478.63 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $562.34 | Professional | None | $398.11 | $562.34 | $562.34 |
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 $501.19 Median $602.56 Typical High $676.08 | Professional | None | $501.19 | $602.56 | $676.08 |
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 $512.86 Median $645.65 Typical High $776.25 | Professional | None | $512.86 | $645.65 | $776.25 |
Hally Health Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $2,238.72 | Professional | None | $478.63 | $724.44 | $2,238.72 |
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 $562.34 Median $602.56 Typical High $645.65 | Professional | None | $562.34 | $602.56 | $645.65 |
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 $512.86 Median $616.60 Typical High $977.24 | Professional | None | $512.86 | $616.60 | $977.24 |
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 $234.42 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $346.74 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $46.77 | $47.86 | $47.86 |
Where Illinois sits
The same service costs 5.9 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 $8,723MT $1,483
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.