How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,259 to $10,233Professionalmedian $871 · 10th to 90th $676 to $1,230
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 $812.83 Median $3,467.37 Typical High $10,232.93 | Facility | None | $812.83 | $3,467.37 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,071.52 | Professional | None | $660.69 | $758.58 | $1,071.52 |
Ambetter Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $6,025.60 Median $7,585.78 Typical High $10,000.00 | Facility | None | $6,025.60 | $7,585.78 | $10,000.00 |
BCBS Illinois Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,071.52 | Professional | None | $691.83 | $1,000.00 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $7,079.46 Typical High $9,120.11 | Facility | None | $776.25 | $7,079.46 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,023.29 | Professional | None | $707.95 | $870.96 | $1,023.29 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $3,311.31 | Professional | None | $645.65 | $1,023.29 | $3,311.31 |
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 $812.83 Median $831.76 Typical High $891.25 | Professional | None | $812.83 | $831.76 | $891.25 |
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 $1,348.96 Median $4,073.80 Typical High $12,589.25 | Facility | None | $1,348.96 | $4,073.80 | $12,589.25 |
United Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,513.56 | Professional | None | $676.08 | $891.25 | $1,513.56 |
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 $338.84 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $338.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $134.90 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $501.19 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $67.61 | $75.86 | $75.86 |
Where Illinois sits
The same service costs 5.9 times more in Alaska than in Montana. 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
AK $12,304MT $2,095
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.