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 $812.83 Median $1,905.46 Typical High $5,888.44 | Facility | None | $812.83 | $1,905.46 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,288.25 | $1,584.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $14,454.40 | Facility | None | $457.09 | $691.83 | $14,454.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,659.59 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $724.44 | Facility | None | $251.19 | $562.34 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,258.93 | $1,737.80 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,890.45 | Professional | None | $1,071.52 | $1,737.80 | $3,890.45 |
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 $1,380.38 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,412.54 | $1,513.56 |
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 $446.68 Median $1,047.13 Typical High $3,019.95 | Facility | None | $446.68 | $1,047.13 | $3,019.95 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,318.26 | $2,511.89 |
2 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 54 · Surgery only Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $851.14 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $794.33 | $891.25 | $891.25 |
Where Illinois sits
The same service costs 6.3 times more in Wyoming than in Texas. 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· 26th of 51
$1,288
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.