How much rates vary
Facilitymedian $2,818 · 10th to 90th $776 to $5,623Professionalmedian $437 · 10th to 90th $200 to $1,445
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 $257.04 Median $1,122.02 Typical High $5,495.41 | Facility | None | $257.04 | $1,122.02 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $741.31 Typical High $1,174.90 | Professional | None | $204.17 | $741.31 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,467.37 Typical High $5,495.41 | Facility | None | $2,570.40 | $3,467.37 | $5,495.41 |
BCBS Illinois Setting Professional Modifier None Typical Low $234.42 Median $707.95 Typical High $1,659.59 | Professional | None | $234.42 | $707.95 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,019.95 Typical High $3,890.45 | Facility | None | $645.65 | $3,019.95 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $380.19 Typical High $1,202.26 | Professional | None | $181.97 | $380.19 | $1,202.26 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $891.25 Typical High $2,290.87 | Professional | None | $234.42 | $891.25 | $2,290.87 |
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 $234.42 Median $257.04 Typical High $977.24 | Professional | None | $234.42 | $257.04 | $977.24 |
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 $213.80 Median $630.96 Typical High $1,621.81 | Professional | None | $213.80 | $630.96 | $1,621.81 |
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 $102.33 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $102.33 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $138.04 Typical High $154.88 | Professional | 53 · Discontinued | $40.74 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $512.86 Typical High $588.84 | Professional | 54 · Surgery only | $151.36 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $102.33 Typical High $117.49 | Professional | 55 · Aftercare only | $30.90 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $69.18 Typical High $77.62 | Professional | 56 · Pre-op care only | $20.42 | $69.18 | $77.62 |
Where Illinois sits
The same service costs 3.8 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 $5,124MT $1,344
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.