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 $602.56 Median $1,862.09 Typical High $5,888.44 | Facility | None | $602.56 | $1,862.09 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
BCBS Illinois Setting Facility Modifier None Typical Low $3,548.13 Median $7,762.47 Typical High $15,488.17 | Facility | None | $3,548.13 | $7,762.47 | $15,488.17 |
BCBS Illinois Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,071.52 | Professional | None | $676.08 | $870.96 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $691.83 Typical High $2,691.53 | Facility | None | $512.86 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,000.00 | Professional | None | $630.96 | $724.44 | $1,000.00 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,995.26 | Professional | None | $645.65 | $954.99 | $1,995.26 |
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 $676.08 Median $758.58 Typical High $851.14 | Professional | None | $676.08 | $758.58 | $851.14 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $812.83 | Professional | None | $33.11 | $33.11 | $812.83 |
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 $562.34 Median $707.95 Typical High $1,258.93 | Professional | None | $562.34 | $707.95 | $1,258.93 |
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 $257.04 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $389.05 | $446.68 | $446.68 |
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 $51.29 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $51.29 | $60.26 | $60.26 |
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· 35th of 51
$708
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.