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 $549.54 Median $1,548.82 Typical High $5,623.41 | Facility | None | $549.54 | $1,548.82 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $758.58 | Professional | None | $407.38 | $549.54 | $758.58 |
BCBS Illinois Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $7,079.46 | Facility | None | $338.84 | $436.52 | $7,079.46 |
BCBS Illinois Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,479.11 | Professional | None | $676.08 | $812.83 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $602.56 | Facility | None | $323.59 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $977.24 | Professional | None | $512.86 | $630.96 | $977.24 |
Hally Health Setting Professional Modifier None Typical Low $501.19 Median $851.14 Typical High $2,137.96 | Professional | None | $501.19 | $851.14 | $2,137.96 |
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 $575.44 Median $691.83 Typical High $776.25 | Professional | None | $575.44 | $691.83 | $776.25 |
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 $489.78 Median $676.08 Typical High $1,202.26 | Professional | None | $489.78 | $676.08 | $1,202.26 |
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 $204.17 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $204.17 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $81.28 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $302.00 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $60.26 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $40.74 | $54.95 | $54.95 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 32nd of 51
$589
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.