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 $57.54 Median $1,318.26 Typical High $5,623.41 | Facility | None | $57.54 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $100.00 | Professional | None | $50.12 | $57.54 | $100.00 |
BCBS Illinois Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $602.56 | Facility | None | $38.90 | $61.66 | $602.56 |
BCBS Illinois Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $95.50 | Professional | None | $46.77 | $67.61 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $51.29 Typical High $512.86 | Facility | None | $36.31 | $51.29 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $91.20 | Professional | None | $44.67 | $61.66 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $323.59 | Professional | None | $44.67 | $72.44 | $323.59 |
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 $56.23 Median $57.54 Typical High $67.61 | Professional | None | $56.23 | $57.54 | $67.61 |
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 $60.26 Median $97.72 Typical High $151.36 | Professional | None | $60.26 | $97.72 | $151.36 |
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 $23.44 Median $26.30 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $11.48 | Professional | 53 · Discontinued | $9.55 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $38.90 Typical High $43.65 | Professional | 54 · Surgery only | $35.48 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.94 Typical High $8.71 | Professional | 55 · Aftercare only | $7.08 | $7.94 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.25 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.68 | $5.25 | $5.75 |
Where Illinois sits
The same service costs 3.6 times more in Wyoming 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.
Illinois· 37th of 51
$70.79
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.