How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,380 to $12,882Professionalmedian $1,585 · 10th to 90th $1,259 to $2,884
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 $1,148.15 Median $3,801.89 Typical High $14,125.38 | Facility | None | $1,148.15 | $3,801.89 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,258.93 | $2,187.76 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,570.88 Median $7,079.46 Typical High $17,378.01 | Facility | None | $4,570.88 | $7,079.46 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $5,370.32 Typical High $6,760.83 | Facility | None | $1,380.38 | $5,370.32 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,513.56 | $2,454.71 |
Hally Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $5,754.40 | Professional | None | $1,412.54 | $2,187.76 | $5,754.40 |
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 $1,659.59 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,659.59 | $1,737.80 | $1,905.46 |
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 $1,288.25 Median $4,073.80 Typical High $12,882.50 | Facility | None | $1,288.25 | $4,073.80 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,348.96 | $1,737.80 | $2,951.21 |
6 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 $616.60 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $616.60 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $251.19 Typical High $275.42 | Professional | 53 · Discontinued | $245.47 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $912.01 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $186.21 Typical High $208.93 | Professional | 55 · Aftercare only | $181.97 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $125.89 Typical High $138.04 | Professional | 56 · Pre-op care only | $123.03 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $870.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $851.14 | $870.96 | $977.24 |
Where Illinois sits
The same service costs 3.1 times more in Alaska than in Delaware. 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 $12,999DE $4,240
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.