How much rates vary
Facilitymedian $741 · 10th to 90th $151 to $3,162Professionalmedian $123 · 10th to 90th $102 to $200
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 $331.13 Median $1,445.44 Typical High $5,623.41 | Facility | None | $331.13 | $1,445.44 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $165.96 | Professional | None | $102.33 | $112.20 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $575.44 Median $1,230.27 Typical High $2,454.71 | Facility | None | $575.44 | $1,230.27 | $2,454.71 |
BCBS Illinois Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | None | $123.03 | $144.54 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $2,691.53 | Facility | None | $660.69 | $812.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $190.55 | Professional | None | $114.82 | $141.25 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $478.63 | Professional | None | $112.20 | $162.18 | $478.63 |
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 $114.82 Median $134.90 Typical High $151.36 | Professional | None | $114.82 | $134.90 | $151.36 |
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 $138.04 Median $457.09 Typical High $1,949.84 | Facility | None | $138.04 | $457.09 | $1,949.84 |
United Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $208.93 | Professional | None | $107.15 | $125.89 | $208.93 |
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 $50.12 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | 54 · Surgery only | $75.86 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.23 | $11.22 | $11.22 |
Where Illinois sits
The same service costs 13.9 times more in Utah than in Delaware. 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
UT $3,071DE $220
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.