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 $338.84 Median $1,318.26 Typical High $5,623.41 | Facility | None | $338.84 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $371.54 | Professional | None | $151.36 | $288.40 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $912.01 Median $1,949.84 Typical High $3,890.45 | Facility | None | $912.01 | $1,949.84 | $3,890.45 |
BCBS Illinois Setting Professional Modifier None Typical Low $177.83 Median $398.11 Typical High $660.69 | Professional | None | $177.83 | $398.11 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $588.84 | Professional | None | $173.78 | $323.59 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $457.09 Typical High $1,548.82 | Professional | None | $208.93 | $457.09 | $1,548.82 |
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 Typical Low $186.21 Median $194.98 Typical High $446.68 | Professional | None | $186.21 | $194.98 | $446.68 |
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 $173.78 Median $1,000.00 Typical High $3,235.94 | Facility | None | $173.78 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $630.96 | Professional | None | $173.78 | $354.81 | $630.96 |
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 $74.13 Median $138.04 Typical High $169.82 | Professional | 52 · Reduced service | $74.13 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $54.95 Typical High $67.61 | Professional | 53 · Discontinued | $29.51 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $208.93 Typical High $251.19 | Professional | 54 · Surgery only | $112.20 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $41.69 Typical High $50.12 | Professional | 55 · Aftercare only | $22.39 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $27.54 Typical High $33.88 | Professional | 56 · Pre-op care only | $14.79 | $27.54 | $33.88 |
Where Illinois sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 29th of 51
$339
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.