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 $66.07 Median $1,318.26 Typical High $5,623.41 | Facility | None | $66.07 | $1,318.26 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $69.18 | Professional | None | $53.70 | $58.88 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $1,318.26 | Facility | None | $309.03 | $660.69 | $1,318.26 |
BCBS Illinois Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $104.71 | Professional | None | $54.95 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $660.69 | Professional | None | $46.77 | $72.44 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $371.54 | Professional | None | $60.26 | $87.10 | $371.54 |
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 $61.66 Median $63.10 Typical High $75.86 | Professional | None | $61.66 | $63.10 | $75.86 |
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 $173.78 Median $1,000.00 Typical High $3,235.94 | Facility | None | $173.78 | $1,000.00 | $3,235.94 |
United Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $138.04 | Professional | None | $53.70 | $70.79 | $138.04 |
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 $26.92 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $13.49 | Professional | 53 · Discontinued | $10.72 | $11.75 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $43.65 Typical High $50.12 | Professional | 54 · Surgery only | $39.81 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.71 Typical High $10.00 | Professional | 55 · Aftercare only | $7.94 | $8.71 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.89 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.37 | $5.89 | $6.61 |
Where Illinois sits
The same service costs 3.4 times more in Alaska 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· 31st of 51
$72.44
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.