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 $398.11 Median $1,548.82 Typical High $5,623.41 | Facility | None | $398.11 | $1,548.82 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $575.44 | Professional | None | $354.81 | $398.11 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $6,309.57 | Facility | None | $2,570.40 | $3,801.89 | $6,309.57 |
BCBS Illinois Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $645.65 | Professional | None | $436.52 | $630.96 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $3,019.95 Typical High $3,890.45 | Facility | None | $537.03 | $3,019.95 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $676.08 | Professional | None | $354.81 | $407.38 | $676.08 |
Hally Health Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $1,202.26 | Professional | None | $363.08 | $575.44 | $1,202.26 |
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 $436.52 Median $457.09 Typical High $501.19 | Professional | None | $436.52 | $457.09 | $501.19 |
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 $2,454.71 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,454.71 | $7,585.78 |
United Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $794.33 | Professional | None | $354.81 | $467.74 | $794.33 |
2 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 54 · Surgery only Typical Low $269.15 Median $302.00 Typical High $316.23 | Professional | 54 · Surgery only | $269.15 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $281.84 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $251.19 | $281.84 | $295.12 |
Where Illinois sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 23rd of 51
$575
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.