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 $87.10 Median $125.89 Typical High $257.04 | Facility | None | $87.10 | $125.89 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $257.04 | Professional | None | $120.23 | $125.89 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $1,905.46 | Facility | None | $281.84 | $524.81 | $1,905.46 |
BCBS Illinois Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | None | $117.49 | $117.49 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $177.83 | Professional | None | $120.23 | $131.83 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $549.54 | Professional | None | $125.89 | $169.82 | $549.54 |
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 $144.54 Median $151.36 Typical High $162.18 | Professional | None | $144.54 | $151.36 | $162.18 |
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 $117.49 Median $131.83 Typical High $223.87 | Professional | None | $117.49 | $131.83 | $223.87 |
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 $60.26 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $12.02 | $12.59 | $12.59 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 39th of 51
$126
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.