How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,585 to $18,621Professionalmedian $933 · 10th to 90th $676 to $1,479
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 $741.31 Median $4,168.69 Typical High $17,782.79 | Facility | None | $741.31 | $4,168.69 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,479.11 | Professional | None | $630.96 | $741.31 | $1,479.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $10,232.93 Median $14,791.08 Typical High $19,054.61 | Facility | None | $10,232.93 | $14,791.08 | $19,054.61 |
BCBS Illinois Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | None | $912.01 | $912.01 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $14,454.40 Typical High $17,782.79 | Facility | None | $7,413.10 | $14,454.40 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,318.26 | Professional | None | $741.31 | $1,023.29 | $1,318.26 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $2,344.23 | Professional | None | $645.65 | $977.24 | $2,344.23 |
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 $724.44 Median $851.14 Typical High $933.25 | Professional | None | $724.44 | $851.14 | $933.25 |
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 $1,479.11 Median $5,248.07 Typical High $20,417.38 | Facility | None | $1,479.11 | $5,248.07 | $20,417.38 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,122.02 Typical High $1,548.82 | Professional | None | $724.44 | $1,122.02 | $1,548.82 |
5 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 $316.23 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $316.23 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $125.89 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $478.63 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $95.50 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $63.10 | $74.13 | $74.13 |
Where Illinois sits
The same service costs 9.6 times more in Oklahoma than in Montana. 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.
Physician feeFacility fee
OK $19,472MT $2,030
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.