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 $512.86 Median $1,318.26 Typical High $5,623.41 | Facility | None | $512.86 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $645.65 | Professional | None | $457.09 | $512.86 | $645.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $3,467.37 Median $5,128.61 Typical High $8,709.64 | Facility | None | $3,467.37 | $5,128.61 | $8,709.64 |
BCBS Illinois Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $724.44 | Professional | None | $512.86 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $4,168.69 Typical High $5,495.41 | Facility | None | $1,778.28 | $4,168.69 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $776.25 | Professional | None | $436.52 | $489.78 | $776.25 |
Hally Health Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,513.56 | Professional | None | $478.63 | $741.31 | $1,513.56 |
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 $562.34 Median $575.44 Typical High $616.60 | Professional | None | $562.34 | $575.44 | $616.60 |
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 $1,174.90 Median $3,090.30 Typical High $9,772.37 | Facility | None | $1,174.90 | $3,090.30 | $9,772.37 |
United Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $977.24 | Professional | None | $446.68 | $549.54 | $977.24 |
1 more rate 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 $338.84 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $338.84 | $380.19 | $380.19 |
Where Illinois sits
The same service costs 4.3 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· 28th of 51
$646
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.