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 $616.60 Median $831.76 Typical High $2,754.23 | Facility | None | $616.60 | $831.76 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $933.25 Typical High $1,584.89 | Professional | None | $616.60 | $933.25 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $1,548.82 Typical High $1,584.89 | Professional | None | $758.58 | $1,548.82 | $1,584.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,128.61 Median $10,964.78 Typical High $22,387.21 | Facility | None | $5,128.61 | $10,964.78 | $22,387.21 |
BCBS Illinois Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,819.70 | Professional | None | $977.24 | $1,318.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $2,691.53 | Facility | None | $660.69 | $812.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,071.52 Typical High $1,737.80 | Professional | None | $562.34 | $1,071.52 | $1,737.80 |
Hally Health Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,238.72 | Professional | None | $891.25 | $1,445.44 | $2,238.72 |
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 $891.25 Median $1,047.13 Typical High $1,479.11 | Professional | None | $891.25 | $1,047.13 | $1,479.11 |
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 $489.78 Median $1,148.15 Typical High $6,606.93 | Facility | None | $489.78 | $1,148.15 | $6,606.93 |
United Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,737.80 | Professional | None | $645.65 | $977.24 | $1,737.80 |
3 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 $363.08 Median $416.87 Typical High $524.81 | Professional | 52 · Reduced service | $363.08 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $125.89 Typical High $158.49 | Professional | 55 · Aftercare only | $109.65 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $83.18 Typical High $104.71 | Professional | 56 · Pre-op care only | $72.44 | $83.18 | $104.71 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 18th of 51
$1,122
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.