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 $213.80 Median $234.42 Typical High $478.63 | Facility | None | $213.80 | $234.42 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $275.42 | Professional | None | $199.53 | $234.42 | $275.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $263.03 Median $346.74 Typical High $2,570.40 | Facility | None | $263.03 | $346.74 | $2,570.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $616.60 | Facility | None | $257.04 | $389.05 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $354.81 | Professional | None | $218.78 | $288.40 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $602.56 | Professional | None | $213.80 | $295.12 | $602.56 |
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 Typical Low $257.04 Median $263.03 Typical High $281.84 | Professional | None | $257.04 | $263.03 | $281.84 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $141.25 Median $478.63 Typical High $1,819.70 | Facility | None | $141.25 | $478.63 | $1,819.70 |
United Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $436.52 | Professional | None | $181.97 | $251.19 | $436.52 |
4 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 $107.15 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $107.15 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $21.38 | $23.44 | $23.44 |
Where Illinois sits
The same service costs 3.0 times more in Wisconsin 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· 21st of 51
$263
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.