How much rates vary
Facilitymedian $3,236 · 10th to 90th $661 to $12,303Professionalmedian $490 · 10th to 90th $339 to $912
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 $416.87 Median $1,348.96 Typical High $5,623.41 | Facility | None | $416.87 | $1,348.96 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $478.63 | Professional | None | $338.84 | $416.87 | $478.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,623.41 Median $9,332.54 Typical High $13,803.84 | Facility | None | $5,623.41 | $9,332.54 | $13,803.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $8,709.64 Typical High $11,220.18 | Facility | None | $478.63 | $8,709.64 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $912.01 | Professional | None | $363.08 | $524.81 | $912.01 |
Hally Health Setting Professional Modifier None Typical Low $371.54 Median $602.56 Typical High $1,348.96 | Professional | None | $371.54 | $602.56 | $1,348.96 |
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 $398.11 Median $426.58 Typical High $562.34 | Professional | None | $398.11 | $426.58 | $562.34 |
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 $4,677.35 | Facility | None | $676.08 | $1,513.56 | $4,677.35 |
United Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $891.25 | Professional | None | $371.54 | $549.54 | $891.25 |
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 $169.82 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $169.82 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $309.03 Typical High $323.59 | Professional | 54 · Surgery only | $257.04 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $51.29 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $41.69 Typical High $42.66 | Professional | 56 · Pre-op care only | $33.88 | $41.69 | $42.66 |
Where Illinois sits
The same service costs 9.3 times more in Wyoming 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
WY $10,585DE $1,135
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.