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 $45.71 Median $77.62 Typical High $117.49 | Facility | None | $45.71 | $77.62 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $95.50 | Professional | None | $48.98 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $24.55 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $9.77 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $11.48 Typical High $13.18 | Professional | 55 · Aftercare only | $7.41 | $11.48 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $7.59 Typical High $8.71 | Professional | 56 · Pre-op care only | $4.90 | $7.59 | $8.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $1,000.00 | Facility | None | $208.93 | $331.13 | $1,000.00 |
BCBS Illinois Setting Professional Modifier None Typical Low $56.23 Median $104.71 Typical High $144.54 | Professional | None | $56.23 | $104.71 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $134.90 | Professional | None | $64.57 | $91.20 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $72.44 Typical High $134.90 | Professional | None | $43.65 | $72.44 | $134.90 |
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 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $38.90 Median $70.79 Typical High $114.82 | Professional | None | $38.90 | $70.79 | $114.82 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 26th of 51
$79.43
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.