How much rates vary
Facilitymedian $14,125 · 10th to 90th $2,089 to $37,154Professionalmedian $1,549 · 10th to 90th $1,122 to $2,512
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 $1,202.26 Median $5,495.41 Typical High $10,715.19 | Facility | None | $1,202.26 | $5,495.41 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $5,623.41 | Professional | None | $1,148.15 | $1,230.27 | $5,623.41 |
BCBS Illinois Setting Facility Modifier None Typical Low $18,620.87 Median $28,840.32 Typical High $38,904.51 | Facility | None | $18,620.87 | $28,840.32 | $38,904.51 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,621.81 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $4,897.79 Typical High $14,125.38 | Facility | None | $562.34 | $4,897.79 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,621.81 | $2,041.74 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $4,073.80 | Professional | None | $1,071.52 | $1,513.56 | $4,073.80 |
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 $1,258.93 Median $1,318.26 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,318.26 | $1,412.54 |
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 $2,137.96 Median $13,489.63 Typical High $43,651.58 | Facility | None | $2,137.96 | $13,489.63 | $43,651.58 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,862.09 | $2,511.89 |
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 $562.34 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $562.34 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $229.09 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $851.14 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $114.82 | $123.03 | $123.03 |
Where Illinois sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.