How much rates vary
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 $16.22 Median $19.95 Typical High $63.10 | Facility | None | $16.22 | $19.95 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $19.95 Typical High $24.55 | Professional | None (both parts) | $16.22 | $19.95 | $24.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $263.03 | Facility | None | $51.29 | $81.28 | $263.03 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | None (both parts) | $19.95 | $19.95 | $20.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $34.67 Typical High $41.69 | Professional | None (both parts) | $22.39 | $34.67 | $41.69 |
Hally Health Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $66.07 | Professional | None | $17.78 | $23.99 | $66.07 |
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 None (both parts) Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | None (both parts) | $20.89 | $20.89 | $22.39 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None (both parts) | $4.37 | $4.37 | $4.37 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $25.12 Typical High $45.71 | Professional | None (both parts) | $17.38 | $25.12 | $45.71 |
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 $8.13 Median $10.00 Typical High $11.22 | Professional | 52 · Reduced service | $8.13 | $10.00 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.07 Typical High $4.47 | Professional | 53 · Discontinued | $3.31 | $4.07 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.02 Typical High $3.39 | Professional | 55 · Aftercare only | $2.45 | $3.02 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.04 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.62 | $2.04 | $2.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Illinois sits
The same service costs 4.3 times more in Alaska than in New York. 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· 25th of 51
$26.92
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.