How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,622 to $12,023Professionalmedian $1,230 · 10th to 90th $355 to $2,344
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 $1,258.93 Median $5,623.41 Typical High $12,589.25 | Facility | None | $1,258.93 | $5,623.41 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,479.11 Typical High $6,165.95 | Professional | None (both parts) | $1,288.25 | $1,479.11 | $6,165.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $363.08 Typical High $398.11 | Professional | 26 · Professional part | $338.84 | $363.08 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,122.02 Typical High $1,148.15 | Professional | TC · Technical part | $954.99 | $1,122.02 | $1,148.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $4,570.88 Median $6,025.60 Typical High $17,378.01 | Facility | None | $4,570.88 | $6,025.60 | $17,378.01 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $346.74 | $524.81 | $630.96 |
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 None (both parts) Typical Low $1,288.25 Median $1,778.28 Typical High $2,344.23 | Professional | None (both parts) | $1,288.25 | $1,778.28 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $446.68 Typical High $602.56 | Professional | 26 · Professional part | $346.74 | $446.68 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,318.26 Typical High $1,737.80 | Professional | TC · Technical part | $933.25 | $1,318.26 | $1,737.80 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $3,311.31 Typical High $5,248.07 | Professional | None | $125.89 | $3,311.31 | $5,248.07 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $446.68 Typical High $794.33 | Professional | 26 · Professional part | $331.13 | $446.68 | $794.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $3,467.37 Typical High $5,248.07 | Professional | TC · Technical part | $2,511.89 | $3,467.37 | $5,248.07 |
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 $346.74 Median $389.05 Typical High $407.38 | Professional | 26 · Professional part | $346.74 | $389.05 | $407.38 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $4,073.80 Typical High $10,964.78 | Facility | None | $1,318.26 | $4,073.80 | $10,964.78 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $338.84 | $524.81 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $512.86 Typical High $758.58 | Professional | 26 · Professional part | $338.84 | $512.86 | $758.58 |
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 $645.65 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $645.65 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $257.04 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $977.24 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $194.98 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $128.82 | $147.91 | $147.91 |
Where Illinois sits
The same service costs 14.5 times more in California than in Maine. 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· 27th of 51
$1,820
CA $8,128ME $562
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.