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 $309.03 Median $1,348.96 Typical High $5,623.41 | Facility | None | $309.03 | $1,348.96 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $501.19 | Professional | None | $257.04 | $346.74 | $501.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $3,235.94 Median $4,466.84 Typical High $7,244.36 | Facility | None | $3,235.94 | $4,466.84 | $7,244.36 |
BCBS Illinois Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $741.31 | Professional | None | $309.03 | $467.74 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,981.07 Typical High $5,128.61 | Facility | None | $660.69 | $3,981.07 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $676.08 | Professional | None | $302.00 | $436.52 | $676.08 |
Hally Health Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $1,479.11 | Professional | None | $331.13 | $562.34 | $1,479.11 |
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 $346.74 Median $363.08 Typical High $537.03 | Professional | None | $346.74 | $363.08 | $537.03 |
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 $446.68 Median $1,047.13 Typical High $3,981.07 | Facility | None | $446.68 | $1,047.13 | $3,981.07 |
United Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $758.58 | Professional | None | $295.12 | $478.63 | $758.58 |
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 $128.82 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $128.82 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $51.29 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $251.19 Typical High $281.84 | Professional | 54 · Surgery only | $194.98 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $50.12 Typical High $56.23 | Professional | 55 · Aftercare only | $38.90 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $33.11 Typical High $38.02 | Professional | 56 · Pre-op care only | $25.70 | $33.11 | $38.02 |
Where Illinois sits
The same service costs 3.9 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· 29th of 51
$468
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.