How much rates vary
Facilitymedian $2,692 · 10th to 90th $708 to $5,623Professionalmedian $457 · 10th to 90th $182 to $1,380
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 $218.78 Median $1,174.90 Typical High $5,128.61 | Facility | None | $218.78 | $1,174.90 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $660.69 Typical High $1,000.00 | Professional | None | $177.83 | $660.69 | $1,000.00 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $5,248.07 | Facility | None | $2,454.71 | $3,388.44 | $5,248.07 |
BCBS Illinois Setting Professional Modifier None Typical Low $204.17 Median $616.60 Typical High $1,584.89 | Professional | None | $204.17 | $616.60 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,019.95 Typical High $3,890.45 | Facility | None | $630.96 | $3,019.95 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $446.68 Typical High $1,122.02 | Professional | None | $194.98 | $446.68 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $870.96 Typical High $2,187.76 | Professional | None | $229.09 | $870.96 | $2,187.76 |
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 $204.17 Median $218.78 Typical High $933.25 | Professional | None | $204.17 | $218.78 | $933.25 |
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 $1,047.13 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $199.53 Median $602.56 Typical High $1,548.82 | Professional | None | $199.53 | $602.56 | $1,548.82 |
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 $87.10 Median $331.13 Typical High $371.54 | Professional | 52 · Reduced service | $87.10 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $131.83 Typical High $147.91 | Professional | 53 · Discontinued | $35.48 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $489.78 Typical High $562.34 | Professional | 54 · Surgery only | $131.83 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $97.72 Typical High $112.20 | Professional | 55 · Aftercare only | $26.30 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $66.07 Typical High $74.13 | Professional | 56 · Pre-op care only | $17.78 | $66.07 | $74.13 |
Where Illinois sits
The same service costs 4.0 times more in Colorado 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
CO $5,041MT $1,267
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.