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 $16.60 Median $41.69 Typical High $70.79 | Facility | None | $16.60 | $41.69 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $47.86 Typical High $70.79 | Professional | None | $17.78 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $23.99 Typical High $35.48 | Professional | 52 · Reduced service | $8.91 | $23.99 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $9.55 Typical High $14.45 | Professional | 53 · Discontinued | $3.63 | $9.55 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $7.08 Typical High $10.72 | Professional | 55 · Aftercare only | $2.69 | $7.08 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $4.79 Typical High $7.08 | Professional | 56 · Pre-op care only | $1.82 | $4.79 | $7.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $380.19 | Facility | None | $125.89 | $190.55 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $53.70 Typical High $97.72 | Professional | None | $24.55 | $53.70 | $97.72 |
Hally Health Setting Professional Modifier None Typical Low $15.85 Median $58.88 Typical High $109.65 | Professional | None | $15.85 | $58.88 | $109.65 |
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 $19.05 Median $38.90 Typical High $85.11 | Professional | None | $19.05 | $38.90 | $85.11 |
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 4.4 times more in Hawaii 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· 33rd of 51
$45.71
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.