How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,230 to $10,000Professionalmedian $363 · 10th to 90th $269 to $525
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 $2,137.96 Typical High $7,762.47 | Facility | None | $588.84 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $288.40 | Professional | None | $275.42 | $281.84 | $288.40 |
BCBS Illinois Setting Facility Modifier None Typical Low $3,388.44 Median $6,309.57 Typical High $9,332.54 | Facility | None | $3,388.44 | $6,309.57 | $9,332.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $489.78 | Professional | None | $316.23 | $371.54 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,888.44 Typical High $7,585.78 | Facility | None | $741.31 | $5,888.44 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $489.78 | Professional | None | $302.00 | $398.11 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $1,412.54 | Professional | None | $302.00 | $436.52 | $1,412.54 |
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 $323.59 Median $354.81 Typical High $380.19 | Professional | None | $323.59 | $354.81 | $380.19 |
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 $1,479.11 Median $5,011.87 Typical High $15,488.17 | Facility | None | $1,479.11 | $5,011.87 | $15,488.17 |
United Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $562.34 | Professional | None | $295.12 | $371.54 | $562.34 |
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 $138.04 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $138.04 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | 54 · Surgery only | $204.17 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $40.74 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $27.54 | $28.18 | $28.18 |
Where Illinois sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.