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 $32.36 Median $36.31 Typical High $44.67 | Facility | None | $32.36 | $36.31 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $74.13 | Professional | None | $30.20 | $38.02 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $58.88 | Professional | None | $40.74 | $47.86 | $58.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $870.96 | Facility | None | $204.17 | $436.52 | $870.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $52.48 Median $53.70 Typical High $54.95 | Professional | None | $52.48 | $53.70 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $52.48 Typical High $74.13 | Professional | None | $33.11 | $52.48 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $141.25 | Professional | None | $46.77 | $69.18 | $141.25 |
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 $56.23 Median $58.88 Typical High $66.07 | Professional | None | $56.23 | $58.88 | $66.07 |
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 $35.48 Median $43.65 Typical High $72.44 | Professional | None | $35.48 | $43.65 | $72.44 |
3 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 $17.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $17.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $5.25 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.47 | $4.27 | $4.27 |
Where Illinois sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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
$48.98
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.