How much rates vary
Facilitymedian $3,802 · 10th to 90th $692 to $7,762Professionalmedian $562 · 10th to 90th $389 to $871
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 $501.19 Median $1,202.26 Typical High $5,623.41 | Facility | None | $501.19 | $1,202.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $724.44 | Professional | None | $389.05 | $398.11 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $9,120.11 | Facility | None | $4,073.80 | $5,754.40 | $9,120.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $812.83 | Professional | None | $467.74 | $691.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,786.30 Typical High $6,165.95 | Facility | None | $741.31 | $4,786.30 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $724.44 | Professional | None | $416.87 | $537.03 | $724.44 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $2,344.23 | Professional | None | $398.11 | $645.65 | $2,344.23 |
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 $457.09 Median $489.78 Typical High $537.03 | Professional | None | $457.09 | $489.78 | $537.03 |
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 $7,943.28 | Facility | None | $1,047.13 | $2,511.89 | $7,943.28 |
United Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $912.01 | Professional | None | $407.38 | $691.83 | $912.01 |
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 $194.98 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $194.98 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 53 · Discontinued | $77.62 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $331.13 | Professional | 54 · Surgery only | $295.12 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $44.67 |
Where Illinois sits
The same service costs 6.4 times more in Alaska 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
AK $7,574MT $1,191
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.