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 $446.68 Median $1,862.09 Typical High $5,888.44 | Facility | None | $446.68 | $1,862.09 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $691.83 | Professional | None | $389.05 | $446.68 | $691.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $5,248.07 | Facility | None | $2,570.40 | $3,548.13 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $3,019.95 Typical High $3,890.45 | Facility | None | $776.25 | $3,019.95 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $323.59 | Professional | None | $194.98 | $239.88 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,380.38 | Professional | None | $630.96 | $1,023.29 | $1,380.38 |
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 $776.25 Median $831.76 Typical High $912.01 | Professional | None | $776.25 | $831.76 | $912.01 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $7,079.46 | Facility | None | $1,047.13 | $2,398.83 | $7,079.46 |
United Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,479.11 | Professional | None | $630.96 | $933.25 | $1,479.11 |
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 $138.04 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $138.04 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $56.23 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $208.93 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $41.69 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $28.18 | $44.67 | $44.67 |
Where Illinois sits
The same service costs 53.7 times more in Alaska than in New York. 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· 19th of 51
$977
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.