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 $10.00 Median $10.96 Typical High $21.38 | Facility | None | $10.00 | $10.96 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $22.91 | Professional | None | $10.00 | $10.00 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $21.88 | Professional | None | $16.98 | $18.20 | $21.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $13.49 Median $26.92 Typical High $107.15 | Facility | None | $13.49 | $26.92 | $107.15 |
BCBS Illinois Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $7.94 | Professional | None | $5.01 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $15.14 Typical High $23.99 | Professional | None | $6.31 | $15.14 | $23.99 |
Hally Health Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $33.88 | Professional | None | $13.80 | $20.42 | $33.88 |
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 $17.78 Median $17.78 Typical High $19.05 | Professional | None | $17.78 | $17.78 | $19.05 |
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 Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $19.05 | Professional | None | $9.77 | $13.18 | $19.05 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Where Illinois sits
The same service costs 5.6 times more in Alabama than in Kentucky. 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· 41st of 51
$12.59
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.