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 $4,677.35 Typical High $12,302.69 | Facility | None | $812.83 | $4,677.35 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $954.99 | Professional | None | $562.34 | $575.44 | $954.99 |
BCBS Illinois Setting Facility Modifier None Typical Low $8,709.64 Median $17,378.01 Typical High $22,387.21 | Facility | None | $8,709.64 | $17,378.01 | $22,387.21 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $18,197.01 Typical High $23,442.29 | Facility | None | $776.25 | $18,197.01 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,148.15 | Professional | None | $676.08 | $831.76 | $1,148.15 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $3,019.95 | Professional | None | $645.65 | $1,023.29 | $3,019.95 |
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 $758.58 Median $812.83 Typical High $891.25 | Professional | None | $758.58 | $812.83 | $891.25 |
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 $1,479.11 Median $5,011.87 Typical High $15,848.93 | Facility | None | $1,479.11 | $5,011.87 | $15,848.93 |
United Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,318.26 | Professional | None | $602.56 | $870.96 | $1,318.26 |
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 $281.84 Median $288.40 Typical High $302.00 | Professional | 52 · Reduced service | $281.84 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $120.23 | Professional | 53 · Discontinued | $112.20 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $426.58 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $87.10 Typical High $89.13 | Professional | 55 · Aftercare only | $85.11 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $57.54 Typical High $60.26 | Professional | 56 · Pre-op care only | $56.23 | $57.54 | $60.26 |
Where Illinois sits
The same service costs 11.7 times more in Oklahoma than in Utah. 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· 23rd of 51
$955
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.