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 $131.83 Median $151.36 Typical High $177.83 | Facility | None | $131.83 | $151.36 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $251.19 | Professional | None | $131.83 | $169.82 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $3,019.95 | Facility | None | $416.87 | $794.33 | $3,019.95 |
BCBS Illinois Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None | $229.09 | $229.09 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $331.13 | Professional | None | $218.78 | $239.88 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $616.60 | Professional | None | $208.93 | $288.40 | $616.60 |
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 $245.47 Median $257.04 Typical High $275.42 | Professional | None | $245.47 | $257.04 | $275.42 |
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 $194.98 Median $239.88 Typical High $398.11 | Professional | None | $194.98 | $239.88 | $398.11 |
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 $74.13 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $26.92 Typical High $28.84 | Professional | 55 · Aftercare only | $21.88 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $17.78 Typical High $19.05 | Professional | 56 · Pre-op care only | $14.79 | $17.78 | $19.05 |
Where Illinois sits
The same service costs 2.4 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· 26th of 51
$229
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.