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 $288.40 Median $302.00 Typical High $724.44 | Facility | None | $288.40 | $302.00 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $389.05 | Professional | None | $275.42 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $363.08 | Professional | None | $275.42 | $338.84 | $363.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $4,466.84 | Facility | None | $575.44 | $1,148.15 | $4,466.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $501.19 | Professional | None | $234.42 | $309.03 | $501.19 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $691.83 | Professional | None | $302.00 | $407.38 | $691.83 |
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 $354.81 Median $363.08 Typical High $389.05 | Professional | None | $354.81 | $363.08 | $389.05 |
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 $234.42 Median $263.03 Typical High $426.58 | Professional | None | $234.42 | $263.03 | $426.58 |
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 $141.25 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $28.18 | $30.20 | $30.20 |
Where Illinois sits
The same service costs 2.8 times more in Alaska than in New York. 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· 24th of 51
$324
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.