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 $33.88 Median $1,148.15 Typical High $5,623.41 | Facility | None | $33.88 | $1,148.15 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $61.66 | Professional | None | $28.84 | $38.02 | $61.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $776.25 | Facility | None | $181.97 | $389.05 | $776.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $75.86 | Professional | None | $34.67 | $51.29 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $2,511.89 | Facility | None | $407.38 | $524.81 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $67.61 | Professional | None | $33.88 | $45.71 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $154.88 | Professional | None | $36.31 | $54.95 | $154.88 |
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 $33.88 Median $36.31 Typical High $51.29 | Professional | None | $33.88 | $36.31 | $51.29 |
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 $138.04 Median $457.09 Typical High $1,949.84 | Facility | None | $138.04 | $457.09 | $1,949.84 |
United Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $79.43 | Professional | None | $32.36 | $45.71 | $79.43 |
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 $13.80 Median $16.60 Typical High $19.05 | Professional | 52 · Reduced service | $13.80 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.61 Typical High $7.76 | Professional | 53 · Discontinued | $5.50 | $6.61 | $7.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $25.12 Typical High $28.84 | Professional | 54 · Surgery only | $20.89 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $5.01 Typical High $5.75 | Professional | 55 · Aftercare only | $4.17 | $5.01 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $3.31 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.75 | $3.31 | $3.89 |
Where Illinois sits
The same service costs 3.3 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
$46.77
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.