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 $138.04 Median $138.04 Typical High $144.54 | Facility | None | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $223.87 | Professional | None | $138.04 | $138.04 | $223.87 |
BCBS Illinois Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $1,659.59 | Facility | None | $199.53 | $398.11 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | None | $154.88 | $154.88 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $354.81 | Facility | None | $199.53 | $295.12 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $204.17 | Professional | None | $14.79 | $21.38 | $204.17 |
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 $17.38 Median $17.78 Typical High $19.05 | Professional | None | $17.38 | $17.78 | $19.05 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $97.72 | Professional | None | $17.38 | $17.38 | $97.72 |
United Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $154.88 | Professional | None | $131.83 | $147.91 | $154.88 |
2 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 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Where Illinois sits
The same service costs 4.1 times more in Colorado 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· 4th of 51
$155
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.