How much rates vary
Facilitymedian $302 · 10th to 90th $87 to $1,122Professionalmedian $123 · 10th to 90th $76 to $195
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 $72.44 Median $87.10 Typical High $338.84 | Facility | None | $72.44 | $87.10 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $72.44 | $87.10 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $50.12 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $77.62 | Professional | TC · Technical part | $30.90 | $36.31 | $77.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $549.54 | Facility | None | $83.18 | $131.83 | $549.54 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $69.18 | $117.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $109.65 Typical High $537.03 | Facility | None | $77.62 | $109.65 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $93.33 | $134.90 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $74.13 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $66.07 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $389.05 | Professional | None | $93.33 | $138.04 | $389.05 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $302.00 | Professional | 26 · Professional part | $51.29 | $75.86 | $302.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $41.69 | $61.66 | $128.82 |
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 (both parts) Typical Low $100.00 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $100.00 | $109.65 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $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 (both parts) Typical Low $89.13 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $89.13 | $134.90 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $72.44 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $58.88 | $79.43 |
4 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 $36.31 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $36.31 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $18.20 | Professional | 53 · Discontinued | $14.45 | $17.38 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.88 Typical High $13.49 | Professional | 55 · Aftercare only | $10.72 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.71 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.24 | $8.71 | $9.12 |
Where Illinois sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 20th of 51
$129
AK $331AL $56.23
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.