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 $81.28 Median $85.11 Typical High $169.82 | Facility | None | $81.28 | $85.11 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $85.11 Typical High $87.10 | Professional | None (both parts) | $81.28 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $16.22 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.59 Typical High $12.88 | Professional | 55 · Aftercare only | $12.30 | $12.59 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.51 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.13 | $8.51 | $8.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $537.03 Typical High $1,258.93 | Facility | None | $208.93 | $537.03 | $1,258.93 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $75.86 | $104.71 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,148.15 | Facility | None | $691.83 | $1,071.52 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $83.18 | $102.33 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $275.42 | Professional | None | $81.28 | $117.49 | $275.42 |
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 $102.33 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $102.33 | $102.33 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Facility | None | $891.25 | $891.25 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $87.10 | $114.82 | $199.53 |
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 TC · Technical part Typical Low $75.86 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $75.86 | $85.11 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $93.33 | $100.00 | $173.78 |
Where Illinois sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 28th of 51
$97.72
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.