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 $33.88 Median $75.86 Typical High $85.11 | Facility | None | $33.88 | $75.86 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $85.11 | Professional | None | $36.31 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $32.36 Typical High $42.66 | Professional | 52 · Reduced service | $18.20 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.88 Typical High $17.38 | Professional | 53 · Discontinued | $7.24 | $12.88 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $10.23 Typical High $12.88 | Professional | 55 · Aftercare only | $5.50 | $10.23 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $6.46 Typical High $8.51 | Professional | 56 · Pre-op care only | $3.63 | $6.46 | $8.51 |
BCBS Illinois Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $562.34 | Facility | None | $169.82 | $229.09 | $562.34 |
BCBS Illinois Setting Professional Modifier None Typical Low $38.90 Median $97.72 Typical High $134.90 | Professional | None | $38.90 | $97.72 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $123.03 | Professional | None | $47.86 | $81.28 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $32.36 Median $70.79 Typical High $407.38 | Professional | None | $32.36 | $70.79 | $407.38 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
United Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $112.20 | Professional | None | $37.15 | $60.26 | $112.20 |
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 2.5 times more in Alaska than in Washington, DC. 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· 25th of 51
$74.13
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.