How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,622 to $10,000Professionalmedian $398 · 10th to 90th $282 to $5,623
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 $1,148.15 Median $5,623.41 Typical High $12,589.25 | Facility | None | $1,148.15 | $5,623.41 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $7,244.36 | Professional | None (both parts) | $295.12 | $295.12 | $7,244.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $269.15 | $295.12 | $295.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,265.80 Median $5,495.41 Typical High $9,120.11 | Facility | None | $4,265.80 | $5,495.41 | $9,120.11 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $281.84 | $426.58 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $6,760.83 Typical High $8,511.38 | Facility | None | $2,041.74 | $6,760.83 | $8,511.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $363.08 Typical High $478.63 | Professional | 26 · Professional part | $275.42 | $363.08 | $478.63 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $7,585.78 Typical High $12,022.64 | Professional | None | $125.89 | $7,585.78 | $12,022.64 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $354.81 Typical High $630.96 | Professional | 26 · Professional part | $269.15 | $354.81 | $630.96 |
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 26 · Professional part Typical Low $281.84 Median $309.03 Typical High $331.13 | Professional | 26 · Professional part | $281.84 | $309.03 | $331.13 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $10,000.00 | Facility | None | $1,288.25 | $4,073.80 | $10,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $281.84 | $416.87 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $426.58 Typical High $616.60 | Professional | 26 · Professional part | $281.84 | $426.58 | $616.60 |
6 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 $138.04 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $138.04 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $54.95 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $208.93 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $41.69 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $27.54 | $29.51 | $29.51 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $5,754.40 Median $7,762.47 Typical High $12,022.64 | Professional | TC · Technical part | $5,754.40 | $7,762.47 | $12,022.64 |
Where Illinois sits
The same service costs 19.5 times more in Colorado than in Maryland. 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· 10th of 51
$3,020
CO $6,761MD $347
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.