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 $41.69 Median $1,288.25 Typical High $5,623.41 | Facility | None | $41.69 | $1,288.25 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $61.66 | Professional | None | $30.20 | $43.65 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $66.07 | Professional | None | $43.65 | $51.29 | $66.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $35.48 Median $60.26 Typical High $537.03 | Facility | None | $35.48 | $60.26 | $537.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $77.62 | Professional | None | $38.02 | $58.88 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $47.86 Typical High $501.19 | Facility | None | $33.11 | $47.86 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $83.18 | Professional | None | $39.81 | $54.95 | $83.18 |
Hally Health Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $141.25 | Professional | None | $44.67 | $70.79 | $141.25 |
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 $39.81 Median $41.69 Typical High $66.07 | Professional | None | $39.81 | $41.69 | $66.07 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None | $33.11 | $33.11 | $72.44 |
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 Typical Low $36.31 Median $51.29 Typical High $85.11 | Professional | None | $36.31 | $51.29 | $85.11 |
1 more rate 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 54 · Surgery only Typical Low $23.99 Median $30.90 Typical High $35.48 | Professional | 54 · Surgery only | $23.99 | $30.90 | $35.48 |
Where Illinois sits
The same service costs 3.3 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· 37th of 51
$50.12
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.