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 $70.79 Median $100.00 Typical High $131.83 | Facility | None | $70.79 | $100.00 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $134.90 | Professional | None | $67.61 | $91.20 | $134.90 |
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 $257.04 Median $416.87 Typical High $1,148.15 | Facility | None | $257.04 | $416.87 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | None | $114.82 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | None | $93.33 | $125.89 | $169.82 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $331.13 | Professional | None | $95.50 | $131.83 | $331.13 |
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 $107.15 Median $109.65 Typical High $147.91 | Professional | None | $107.15 | $109.65 | $147.91 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $51.29 | Professional | None | $50.12 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | None | $97.72 | $125.89 | $194.98 |
6 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 Facility Modifier 52 · Reduced service Typical Low $45.71 Median $57.54 Typical High $64.57 | Facility | 52 · Reduced service | $45.71 | $57.54 | $64.57 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.49 Median $17.38 Typical High $19.50 | Facility | 55 · Aftercare only | $13.49 | $17.38 | $19.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.48 Typical High $12.88 | Facility | 56 · Pre-op care only | $9.12 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $13.49 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.77 Typical High $11.75 | Professional | 56 · Pre-op care only | $9.12 | $9.77 | $11.75 |
Where Illinois sits
The same service costs 2.5 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· 34th of 51
$105
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.