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 $380.19 Median $1,548.82 Typical High $5,623.41 | Facility | None | $380.19 | $1,548.82 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | None | $316.23 | $371.54 | $371.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,187.76 Median $4,677.35 Typical High $9,332.54 | Facility | None | $2,187.76 | $4,677.35 | $9,332.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $616.60 | Professional | None | $416.87 | $537.03 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $2,511.89 | Facility | None | $380.19 | $512.86 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $616.60 | Professional | None | $389.05 | $446.68 | $616.60 |
Hally Health Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,258.93 | Professional | None | $389.05 | $588.84 | $1,258.93 |
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 $416.87 Median $467.74 Typical High $512.86 | Professional | None | $416.87 | $467.74 | $512.86 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $501.19 | Professional | None | $33.11 | $33.11 | $501.19 |
United Setting Facility Modifier None Typical Low $138.04 Median $457.09 Typical High $1,949.84 | Facility | None | $138.04 | $457.09 | $1,949.84 |
United Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $758.58 | Professional | None | $346.74 | $426.58 | $758.58 |
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 $158.49 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $234.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $46.77 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $31.62 | $37.15 | $37.15 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 34th of 51
$447
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.