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 $616.60 Median $1,621.81 Typical High $7,762.47 | Facility | None | $616.60 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | None | $524.81 | $616.60 | $616.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $3,548.13 Median $7,585.78 Typical High $15,135.61 | Facility | None | $3,548.13 | $7,585.78 | $15,135.61 |
BCBS Illinois Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,122.02 | Professional | None | $758.58 | $954.99 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,995.26 Typical High $11,220.18 | Facility | None | $741.31 | $1,995.26 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,096.48 | Professional | None | $616.60 | $758.58 | $1,096.48 |
Hally Health Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $1,905.46 | Professional | None | $331.13 | $524.81 | $1,905.46 |
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 $389.05 Median $416.87 Typical High $457.09 | Professional | None | $389.05 | $416.87 | $457.09 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $512.86 | Professional | None | $371.54 | $478.63 | $512.86 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $3,388.44 Typical High $8,912.51 | Facility | None | $1,148.15 | $3,388.44 | $8,912.51 |
United Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $602.56 | Professional | None | $269.15 | $346.74 | $602.56 |
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 $263.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $104.71 | $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 $52.48 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $52.48 | $61.66 | $61.66 |
Where Illinois sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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
$617
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.