How much rates vary
Facilitymedian $10,233 · 10th to 90th $1,479 to $17,378Professionalmedian $813 · 10th to 90th $550 to $1,318
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 $812.83 Median $3,467.37 Typical High $10,232.93 | Facility | None | $812.83 | $3,467.37 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $1,023.29 | Professional | None | $512.86 | $616.60 | $1,023.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $8,317.64 Median $13,803.84 Typical High $17,378.01 | Facility | None | $8,317.64 | $13,803.84 | $17,378.01 |
BCBS Illinois Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,071.52 | Professional | None | $741.31 | $933.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $13,182.57 Typical High $16,595.87 | Facility | None | $776.25 | $13,182.57 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,148.15 | Professional | None | $616.60 | $794.33 | $1,148.15 |
Hally Health Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $2,511.89 | Professional | None | $562.34 | $977.24 | $2,511.89 |
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 $630.96 Median $758.58 Typical High $870.96 | Professional | None | $630.96 | $758.58 | $870.96 |
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 $1,659.59 Median $7,943.28 Typical High $25,703.96 | Facility | None | $1,659.59 | $7,943.28 | $25,703.96 |
United Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,348.96 | Professional | None | $602.56 | $870.96 | $1,348.96 |
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 $257.04 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $257.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $102.33 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $389.05 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $77.62 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $51.29 | $61.66 | $61.66 |
Where Illinois sits
The same service costs 9.8 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $17,480MT $1,783
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.