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 $89.13 Median $138.04 Typical High $151.36 | Facility | None | $89.13 | $138.04 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $109.65 | Professional | None | $83.18 | $89.13 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $70.79 Median $190.55 Typical High $1,258.93 | Facility | None | $70.79 | $190.55 | $1,258.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | None | $81.28 | $97.72 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $144.54 | Professional | None | $89.13 | $109.65 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $309.03 | Professional | None | $85.11 | $109.65 | $309.03 |
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 $97.72 Median $104.71 Typical High $112.20 | Professional | None | $97.72 | $104.71 | $112.20 |
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 $81.28 Median $107.15 Typical High $177.83 | Professional | None | $81.28 | $107.15 | $177.83 |
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 $40.74 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $12.30 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.13 | $8.91 | $8.91 |
Where Illinois sits
The same service costs 2.9 times more in Alaska than in Utah. 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· 31st 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.