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 $741.31 Median $1,000.00 Typical High $3,019.95 | Facility | None | $741.31 | $1,000.00 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,380.38 | Professional | None | $741.31 | $1,000.00 | $1,380.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $6,165.95 Median $13,182.57 Typical High $26,302.68 | Facility | None | $6,165.95 | $13,182.57 | $26,302.68 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,445.44 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $2,511.89 | Facility | None | $512.86 | $758.58 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,202.26 | $1,905.46 |
Hally Health Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $3,235.94 | Professional | None | $954.99 | $1,513.56 | $3,235.94 |
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 $1,023.29 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,230.27 | $1,412.54 |
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 $1,258.93 Typical High $7,079.46 | Facility | None | $489.78 | $1,258.93 | $7,079.46 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,089.30 | Professional | None | $912.01 | $1,258.93 | $2,089.30 |
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 $371.54 Median $501.19 Typical High $524.81 | Professional | 52 · Reduced service | $371.54 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $199.53 Typical High $208.93 | Professional | 53 · Discontinued | $147.91 | $199.53 | $208.93 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 80 · Assistant surgeon | $234.42 | $234.42 | $234.42 |
Where Illinois sits
The same service costs 3.4 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
$1,288
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.