How much rates vary
Facilitymedian $16,982 · 10th to 90th $1,122 to $50,119Professionalmedian $776 · 10th to 90th $525 to $1,175
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 $562.34 Median $1,698.24 Typical High $5,888.44 | Facility | None | $562.34 | $1,698.24 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $1,023.29 | Professional | None | $467.74 | $562.34 | $1,023.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $8,128.31 Median $35,481.34 Typical High $46,773.51 | Facility | None | $8,128.31 | $35,481.34 | $46,773.51 |
BCBS Illinois Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,096.48 | Professional | None | $724.44 | $933.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $47,863.01 Typical High $50,118.72 | Facility | None | $630.96 | $47,863.01 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,096.48 | Professional | None | $537.03 | $758.58 | $1,096.48 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $2,344.23 | Professional | None | $537.03 | $851.14 | $2,344.23 |
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 $602.56 Median $691.83 Typical High $794.33 | Professional | None | $602.56 | $691.83 | $794.33 |
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 $2,187.76 Median $14,125.38 Typical High $45,708.82 | Facility | None | $2,187.76 | $14,125.38 | $45,708.82 |
United Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $1,202.26 | Professional | None | $537.03 | $831.76 | $1,202.26 |
6 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 $234.42 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $93.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $346.74 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $69.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $323.59 | $398.11 | $398.11 |
Where Illinois sits
The same service costs 24.6 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 $43,875MT $1,787
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.