How much rates vary
Facilitymedian $724 · 10th to 90th $162 to $2,344Professionalmedian $110 · 10th to 90th $87 to $186
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 $97.72 Median $109.65 Typical High $275.42 | Facility | None | $97.72 | $109.65 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $64.57 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $34.67 | $38.02 | $38.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $398.11 Median $446.68 Typical High $537.03 | Facility | None | $398.11 | $446.68 | $537.03 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $107.15 | $107.15 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $436.52 Typical High $954.99 | Facility | None | $83.18 | $436.52 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $190.55 | Professional | None (both parts) | $107.15 | $165.96 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $70.79 | $107.15 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $58.88 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $190.55 | Professional | None | $102.33 | $141.25 | $190.55 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $85.11 | $144.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $51.29 | $72.44 |
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 (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $123.03 | Professional | None (both parts) | $33.11 | $47.86 | $123.03 |
United Setting Facility Modifier None Typical Low $208.93 Median $912.01 Typical High $3,090.30 | Facility | None | $208.93 | $912.01 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $75.86 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $30.90 | $38.90 | $67.61 |
2 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 55 · Aftercare only Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $14.45 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.77 | $10.96 | $10.96 |
Where Illinois sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 26th of 51
$110
MN $275AL $63.10
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.