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 $117.49 Median $1,318.26 Typical High $5,623.41 | Facility | None | $117.49 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $120.23 | Professional | None | $69.18 | $102.33 | $120.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $2,187.76 | Facility | None | $512.86 | $1,096.48 | $2,187.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $234.42 | Professional | None | $81.28 | $134.90 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $120.23 Typical High $562.34 | Professional | None | $66.07 | $120.23 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $426.58 | Professional | None | $95.50 | $169.82 | $426.58 |
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 $83.18 Median $87.10 Typical High $154.88 | Professional | None | $83.18 | $87.10 | $154.88 |
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 $173.78 Median $1,000.00 Typical High $3,235.94 | Facility | None | $173.78 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $213.80 | Professional | None | $74.13 | $117.49 | $213.80 |
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 $34.67 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $34.67 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $13.80 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $81.28 Typical High $89.13 | Professional | 54 · Surgery only | $52.48 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $16.22 Typical High $17.78 | Professional | 55 · Aftercare only | $10.47 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.47 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.92 | $10.47 | $11.75 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 29th of 51
$123
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.