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 $19.95 Median $54.95 Typical High $63.10 | Facility | None | $19.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $51.29 Typical High $72.44 | Professional | None | $23.99 | $51.29 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $354.81 | Facility | None | $81.28 | $128.82 | $354.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $23.44 Median $56.23 Typical High $85.11 | Professional | None | $23.44 | $56.23 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $51.29 Typical High $95.50 | Professional | None | $25.12 | $51.29 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $26.30 Median $66.07 Typical High $151.36 | Professional | None | $26.30 | $66.07 | $151.36 |
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 $28.84 Median $29.51 Typical High $77.62 | Professional | None | $28.84 | $29.51 | $77.62 |
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 Professional Modifier None Typical Low $23.99 Median $61.66 Typical High $128.82 | Professional | None | $23.99 | $61.66 | $128.82 |
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 $12.02 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $12.02 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $10.72 Typical High $12.59 | Professional | 53 · Discontinued | $4.79 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $7.94 Typical High $9.33 | Professional | 55 · Aftercare only | $3.63 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $5.37 Typical High $6.31 | Professional | 56 · Pre-op care only | $2.40 | $5.37 | $6.31 |
Where Illinois sits
The same service costs 4.4 times more in North Dakota than in Kentucky. 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
$57.54
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.