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 $181.97 Median $251.19 Typical High $251.19 | Facility | None | $181.97 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $309.03 | Professional | None | $181.97 | $181.97 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $2,187.76 | Facility | None | $269.15 | $501.19 | $2,187.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | None | $177.83 | $177.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $478.63 | Facility | None | $269.15 | $398.11 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Hally Health Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $229.09 | Professional | None | $14.79 | $21.38 | $229.09 |
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 $131.83 Median $165.96 Typical High $177.83 | Professional | None | $131.83 | $165.96 | $177.83 |
United Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $213.80 | Professional | None | $173.78 | $208.93 | $213.80 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Where Illinois sits
The same service costs 562.3 times more in Montana 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· 47th of 51
$182
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.