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 $257.04 Median $1,380.38 Typical High $5,888.44 | Facility | None | $257.04 | $1,380.38 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $275.42 | Professional | None | $199.53 | $223.87 | $275.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $2,754.23 | Facility | None | $251.19 | $380.19 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $501.19 | Professional | None | $257.04 | $380.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $891.25 | Facility | None | $239.88 | $354.81 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $457.09 | Professional | None | $234.42 | $275.42 | $457.09 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $851.14 | Professional | None | $239.88 | $371.54 | $851.14 |
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 $245.47 Median $269.15 Typical High $354.81 | Professional | None | $245.47 | $269.15 | $354.81 |
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 $512.86 Typical High $1,949.84 | Facility | None | $141.25 | $512.86 | $1,949.84 |
United Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $549.54 | Professional | None | $223.87 | $302.00 | $549.54 |
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 $100.00 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $100.00 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $39.81 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $165.96 Typical High $194.98 | Professional | 54 · Surgery only | $147.91 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $33.88 Typical High $38.90 | Professional | 55 · Aftercare only | $29.51 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $22.39 Typical High $25.70 | Professional | 56 · Pre-op care only | $19.95 | $22.39 | $25.70 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 24th of 51
$324
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.