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 $223.87 Median $1,380.38 Typical High $5,623.41 | Facility | None | $223.87 | $1,380.38 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $199.53 Typical High $223.87 | Professional | None | $112.20 | $199.53 | $223.87 |
BCBS Illinois Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,041.74 | Facility | None | $977.24 | $1,318.26 | $2,041.74 |
BCBS Illinois Setting Professional Modifier None Typical Low $125.89 Median $251.19 Typical High $323.59 | Professional | None | $125.89 | $251.19 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,202.26 Typical High $1,659.59 | Facility | None | $478.63 | $1,202.26 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $380.19 | Professional | None | $104.71 | $165.96 | $380.19 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $275.42 Typical High $776.25 | Professional | None | $134.90 | $275.42 | $776.25 |
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 $128.82 Median $141.25 Typical High $288.40 | Professional | None | $128.82 | $141.25 | $288.40 |
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 $4,073.80 | Facility | None | $676.08 | $1,513.56 | $4,073.80 |
United Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $363.08 | Professional | None | $120.23 | $208.93 | $363.08 |
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 $56.23 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $56.23 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $22.39 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $141.25 Typical High $165.96 | Professional | 54 · Surgery only | $85.11 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $28.18 Typical High $33.11 | Professional | 55 · Aftercare only | $16.98 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $19.05 Typical High $22.39 | Professional | 56 · Pre-op care only | $11.22 | $19.05 | $22.39 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Washington, DC. 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· 36th of 51
$195
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.