How much rates vary
Facilitymedian $417 · 10th to 90th $178 to $3,162Professionalmedian $447 · 10th to 90th $324 to $603
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 $354.81 Median $1,318.26 Typical High $5,623.41 | Facility | None | $354.81 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $446.68 | Professional | None | $316.23 | $354.81 | $446.68 |
BCBS Illinois Setting Facility Modifier None Typical Low $263.03 Median $398.11 Typical High $4,073.80 | Facility | None | $263.03 | $398.11 | $4,073.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $602.56 | Professional | None | $338.84 | $489.78 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $446.68 | Facility | None | $177.83 | $323.59 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $562.34 | Professional | None | $346.74 | $467.74 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $1,023.29 | Professional | None | $302.00 | $467.74 | $1,023.29 |
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 $389.05 Typical High $436.52 | Professional | None | $389.05 | $389.05 | $436.52 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
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 $295.12 Median $380.19 Typical High $707.95 | Professional | None | $295.12 | $380.19 | $707.95 |
6 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 $177.83 Typical High $181.97 | Professional | 52 · Reduced service | $158.49 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $72.44 | Professional | 53 · Discontinued | $63.10 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $239.88 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $53.70 Typical High $54.95 | Professional | 55 · Aftercare only | $47.86 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $35.48 Typical High $36.31 | Professional | 56 · Pre-op care only | $31.62 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $251.19 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $223.87 | $251.19 | $251.19 |
Where Illinois sits
The same service costs 7.4 times more in Hawaii than in Florida. 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.
Physician feeFacility fee
HI $3,255FL $440
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.