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 $75.86 Median $83.18 Typical High $147.91 | Facility | None | $75.86 | $83.18 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $83.18 | Professional | None | $74.13 | $79.43 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $1,659.59 | Facility | None | $194.98 | $263.03 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $144.54 | Professional | None | $87.10 | $109.65 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $190.55 Typical High $251.19 | Facility | None | $60.26 | $190.55 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $77.62 Typical High $131.83 | Professional | None | $38.90 | $77.62 | $131.83 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $316.23 | Professional | None | $100.00 | $134.90 | $316.23 |
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 $407.38 Median $407.38 Typical High $457.09 | Facility | None | $407.38 | $407.38 | $457.09 |
United Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $177.83 | Professional | None | $60.26 | $102.33 | $177.83 |
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 $38.02 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $38.02 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.75 Typical High $12.30 | Professional | 55 · Aftercare only | $11.22 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.76 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.59 | $7.76 | $8.32 |
Where Illinois sits
The same service costs 5.0 times more in Alaska than in Alabama. 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· 24th of 51
$105
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.