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 $18.62 Median $23.44 Typical High $39.81 | Facility | None | $18.62 | $23.44 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $23.44 | Professional | None | $18.62 | $20.89 | $23.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $602.56 | Facility | None | $67.61 | $95.50 | $602.56 |
BCBS Illinois Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $40.74 | Professional | None | $21.38 | $28.84 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $47.86 Typical High $61.66 | Facility | None | $14.79 | $47.86 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $21.38 Typical High $36.31 | Professional | None | $9.77 | $21.38 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $125.89 | Professional | None | $25.70 | $37.15 | $125.89 |
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 |
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 $123.03 Median $123.03 Typical High $141.25 | Facility | None | $123.03 | $123.03 | $141.25 |
United Setting Professional Modifier None Typical Low $15.85 Median $27.54 Typical High $47.86 | Professional | None | $15.85 | $27.54 | $47.86 |
4 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 $9.33 Median $10.23 Typical High $11.48 | Professional | 52 · Reduced service | $9.33 | $10.23 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.07 Typical High $4.68 | Professional | 53 · Discontinued | $3.72 | $4.07 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.09 Typical High $3.47 | Professional | 55 · Aftercare only | $2.82 | $3.09 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $2.04 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.86 | $2.04 | $2.29 |
Where Illinois sits
The same service costs 4.5 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· 25th of 51
$26.92
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.