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 $524.81 Median $1,445.44 Typical High $5,623.41 | Facility | None | $524.81 | $1,445.44 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $776.25 | Professional | None | $524.81 | $524.81 | $776.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $8,317.64 | Facility | None | $467.74 | $758.58 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $794.33 | Facility | None | $426.58 | $575.44 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $977.24 | Professional | None | $575.44 | $602.56 | $977.24 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $2,041.74 | Professional | None | $537.03 | $831.76 | $2,041.74 |
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 $616.60 Median $660.69 Typical High $724.44 | Professional | None | $616.60 | $660.69 | $724.44 |
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 $446.68 Median $1,047.13 Typical High $3,019.95 | Facility | None | $446.68 | $1,047.13 | $3,019.95 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,174.90 | Professional | None | $549.54 | $758.58 | $1,174.90 |
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 $263.03 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $263.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $457.09 | Professional | 54 · Surgery only | $398.11 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $60.26 |
Where Illinois sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 32nd of 51
$692
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.