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 $50.12 Median $61.66 Typical High $75.86 | Facility | None | $50.12 | $61.66 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $134.90 | Professional | None | $51.29 | $69.18 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $112.20 | Professional | None | $63.10 | $85.11 | $112.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $1,288.25 | Facility | None | $181.97 | $354.81 | $1,288.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $97.72 | Professional | None | $91.20 | $93.33 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $141.25 | Professional | None | $67.61 | $89.13 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $251.19 | Professional | None | $83.18 | $117.49 | $251.19 |
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 $85.11 Median $107.15 Typical High $186.21 | Professional | None | $85.11 | $107.15 | $186.21 |
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 $29.51 Median $36.31 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.96 Typical High $12.88 | Professional | 55 · Aftercare only | $8.91 | $10.96 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.24 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.89 | $7.24 | $8.51 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | GC · Resident with teaching physician | $83.18 | $83.18 | $91.20 |
Where Illinois sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 39th of 51
$91.20
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.