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 $346.74 Median $1,348.96 Typical High $5,623.41 | Facility | None | $346.74 | $1,348.96 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $457.09 | Professional | None | $288.40 | $323.59 | $457.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $4,168.69 | Facility | None | $251.19 | $380.19 | $4,168.69 |
BCBS Illinois Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $724.44 | Professional | None | $398.11 | $537.03 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $549.54 | Facility | None | $239.88 | $338.84 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $741.31 | Professional | None | $316.23 | $436.52 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $1,380.38 | Professional | None | $354.81 | $588.84 | $1,380.38 |
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 $338.84 Median $407.38 Typical High $575.44 | Professional | None | $338.84 | $407.38 | $575.44 |
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 $316.23 Median $478.63 Typical High $851.14 | Professional | None | $316.23 | $478.63 | $851.14 |
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 $144.54 Median $162.18 Typical High $204.17 | Professional | 52 · Reduced service | $144.54 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $57.54 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $245.47 Typical High $309.03 | Professional | 54 · Surgery only | $213.80 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $61.66 | Professional | 55 · Aftercare only | $43.65 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $32.36 Typical High $40.74 | Professional | 56 · Pre-op care only | $28.84 | $32.36 | $40.74 |
Where Illinois sits
The same service costs 2.9 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· 26th of 51
$437
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.