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 $39.81 Median $67.61 Typical High $67.61 | Facility | None | $39.81 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | None | $67.61 | $67.61 | $74.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $302.00 Median $645.65 Typical High $1,318.26 | Facility | None | $302.00 | $645.65 | $1,318.26 |
BCBS Illinois Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | None | $33.88 | $33.88 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $177.83 | Facility | None | $100.00 | $147.91 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $54.95 | Professional | None | $23.44 | $33.11 | $54.95 |
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 $27.54 Median $28.18 Typical High $30.20 | Professional | None | $27.54 | $28.18 | $30.20 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $54.95 | Professional | None | $17.38 | $17.38 | $54.95 |
United Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $79.43 | Professional | None | $66.07 | $79.43 | $79.43 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $6.76 |
Where Illinois sits
The same service costs 6.5 times more in Arizona than in Hawaii. 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· 48th of 51
$54.95
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.