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 $213.80 Median $1,621.81 Typical High $7,762.47 | Facility | None | $213.80 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $295.12 | Professional | None | $158.49 | $213.80 | $295.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $2,691.53 | Facility | None | $251.19 | $380.19 | $2,691.53 |
BCBS Illinois Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $363.08 | Professional | None | $257.04 | $316.23 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $446.68 | Facility | None | $173.78 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $398.11 | Professional | None | $223.87 | $263.03 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $912.01 | Professional | None | $204.17 | $323.59 | $912.01 |
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 $223.87 Median $263.03 Typical High $302.00 | Professional | None | $223.87 | $263.03 | $302.00 |
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 $501.19 Typical High $1,819.70 | Facility | None | $141.25 | $501.19 | $1,819.70 |
United Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $467.74 | Professional | None | $190.55 | $275.42 | $467.74 |
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 $77.62 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $31.62 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 54 · Surgery only | $117.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $31.62 Typical High $33.11 | Professional | 55 · Aftercare only | $23.44 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $21.38 Typical High $22.39 | Professional | 56 · Pre-op care only | $15.85 | $21.38 | $22.39 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Utah. 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
$282
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.