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 $223.87 Median $1,348.96 Typical High $5,623.41 | Facility | None | $223.87 | $1,348.96 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $275.42 | Professional | None | $117.49 | $194.98 | $275.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $2,818.38 | Facility | None | $1,096.48 | $1,584.89 | $2,818.38 |
BCBS Illinois Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $371.54 | Professional | None | $134.90 | $234.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,348.96 Typical High $1,659.59 | Facility | None | $478.63 | $1,348.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $316.23 | Professional | None | $109.65 | $208.93 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $426.58 | Professional | None | $151.36 | $269.15 | $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 $144.54 Median $151.36 Typical High $269.15 | Professional | None | $144.54 | $151.36 | $269.15 |
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 $676.08 Median $1,513.56 Typical High $4,265.80 | Facility | None | $676.08 | $1,513.56 | $4,265.80 |
United Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $371.54 | Professional | None | $131.83 | $218.78 | $371.54 |
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 $61.66 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $61.66 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $24.55 | $38.90 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $147.91 Typical High $165.96 | Professional | 54 · Surgery only | $93.33 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $29.51 Typical High $33.11 | Professional | 55 · Aftercare only | $18.62 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.50 Typical High $22.39 | Professional | 56 · Pre-op care only | $12.30 | $19.50 | $22.39 |
Where Illinois sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$224
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.