How much rates vary
Facilitymedian $2,089 · 10th to 90th $955 to $5,370Professionalmedian $646 · 10th to 90th $162 to $1,380
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 $467.74 Median $1,819.70 Typical High $5,623.41 | Facility | None | $467.74 | $1,819.70 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $707.95 Typical High $1,412.54 | Professional | None | $173.78 | $707.95 | $1,412.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,715.35 | Facility | None | $1,621.81 | $2,187.76 | $3,715.35 |
BCBS Illinois Setting Professional Modifier None Typical Low $158.49 Median $741.31 Typical High $1,380.38 | Professional | None | $158.49 | $741.31 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $2,570.40 | Facility | None | $954.99 | $1,995.26 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $1,258.93 | Professional | None | $186.21 | $398.11 | $1,258.93 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $933.25 Typical High $1,905.46 | Professional | None | $165.96 | $933.25 | $1,905.46 |
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 $186.21 Median $190.55 Typical High $1,047.13 | Professional | None | $186.21 | $190.55 | $1,047.13 |
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 $1,047.13 Median $2,454.71 Typical High $6,165.95 | Facility | None | $1,047.13 | $2,454.71 | $6,165.95 |
United Setting Professional Modifier None Typical Low $194.98 Median $602.56 Typical High $1,479.11 | Professional | None | $194.98 | $602.56 | $1,479.11 |
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 $120.23 Median $281.84 Typical High $707.95 | Professional | 54 · Surgery only | $120.23 | $281.84 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $263.03 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $109.65 | $263.03 | $660.69 |
Where Illinois sits
The same service costs 3.5 times more in Colorado 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
CO $4,667MT $1,347
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.