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 $85.11 Median $128.82 Typical High $234.42 | Facility | None | $85.11 | $128.82 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $177.83 | Professional | None | $85.11 | $102.33 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $131.83 | Professional | None | $100.00 | $109.65 | $131.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $239.88 Median $436.52 Typical High $1,778.28 | Facility | None | $239.88 | $436.52 | $1,778.28 |
BCBS Illinois Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $5,754.40 Typical High $7,585.78 | Facility | None | $3,311.31 | $5,754.40 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $213.80 | Professional | None | $102.33 | $128.82 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $436.52 | Professional | None | $112.20 | $154.88 | $436.52 |
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 $125.89 Median $134.90 Typical High $162.18 | Professional | None | $125.89 | $134.90 | $162.18 |
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 $107.15 Median $128.82 Typical High $218.78 | Professional | None | $107.15 | $128.82 | $218.78 |
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 $41.69 Median $46.77 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 55 · Aftercare only | $12.59 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.33 Typical High $10.23 | Professional | 56 · Pre-op care only | $8.51 | $9.33 | $10.23 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $117.49 Typical High $177.83 | Professional | 25 · Same-day visit | $95.50 | $117.49 | $177.83 |
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· 22nd of 51
$132
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.