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 $194.98 Median $194.98 Typical High $213.80 | Facility | None | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $302.00 | Professional | None | $194.98 | $194.98 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $123.03 | Professional | None | $67.61 | $67.61 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $2,344.23 | Facility | None | $234.42 | $524.81 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None | $229.09 | $229.09 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $512.86 | Facility | None | $288.40 | $426.58 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $275.42 | Professional | None | $51.29 | $74.13 | $275.42 |
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 $60.26 Median $63.10 Typical High $67.61 | Professional | None | $60.26 | $63.10 | $67.61 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $194.98 | Professional | None | $128.82 | $128.82 | $194.98 |
United Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | None | $190.55 | $229.09 | $229.09 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Where Illinois sits
The same service costs 549.5 times more in Arizona than in Rhode Island. 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· 5th of 51
$229
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.