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 $588.84 Median $1,621.81 Typical High $7,762.47 | Facility | None | $588.84 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | None | $501.19 | $588.84 | $588.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $3,388.44 Median $7,244.36 Typical High $14,454.40 | Facility | None | $3,388.44 | $7,244.36 | $14,454.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,071.52 | Professional | None | $724.44 | $912.01 | $1,071.52 |
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 $588.84 Median $724.44 Typical High $1,047.13 | Professional | None | $588.84 | $724.44 | $1,047.13 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $2,238.72 | Professional | None | $323.59 | $489.78 | $2,238.72 |
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 $363.08 Median $389.05 Typical High $426.58 | Professional | None | $363.08 | $389.05 | $426.58 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $489.78 | Professional | None | $346.74 | $416.87 | $489.78 |
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 $263.03 Median $331.13 Typical High $588.84 | Professional | None | $263.03 | $331.13 | $588.84 |
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 $245.47 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $245.47 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $100.00 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $371.54 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $74.13 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $50.12 | $58.88 | $58.88 |
Where Illinois sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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· 32nd of 51
$589
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.