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 $42.66 Median $67.61 Typical High $177.83 | Facility | None | $42.66 | $67.61 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $83.18 | Professional | None | $46.77 | $67.61 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $57.54 Median $93.33 Typical High $630.96 | Facility | None | $57.54 | $93.33 | $630.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $141.25 | Professional | None | $57.54 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $125.89 | Facility | None | $50.12 | $72.44 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $120.23 | Professional | None | $53.70 | $83.18 | $120.23 |
Hally Health Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $213.80 | Professional | None | $64.57 | $109.65 | $213.80 |
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 $54.95 Median $61.66 Typical High $104.71 | Professional | None | $54.95 | $61.66 | $104.71 |
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 $141.25 Median $478.63 Typical High $1,819.70 | Facility | None | $141.25 | $478.63 | $1,819.70 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $141.25 | Professional | None | $52.48 | $79.43 | $141.25 |
4 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 $22.39 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $22.39 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $13.18 Typical High $15.49 | Professional | 53 · Discontinued | $9.12 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.00 Typical High $11.75 | Professional | 55 · Aftercare only | $6.76 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.61 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.47 | $6.61 | $7.76 |
Where Illinois sits
The same service costs 3.1 times more in Wisconsin than in Florida. 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· 22nd of 51
$83.18
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.