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 $30.20 Median $37.15 Typical High $57.54 | Facility | None | $30.20 | $37.15 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $51.29 | Professional | None | $30.20 | $37.15 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $380.19 Typical High $1,479.11 | Facility | None | $194.98 | $380.19 | $1,479.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $52.48 | Professional | None | $36.31 | $43.65 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $85.11 | Professional | None | $38.02 | $56.23 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $186.21 | Professional | None | $37.15 | $51.29 | $186.21 |
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 $43.65 Median $44.67 Typical High $50.12 | Professional | None | $43.65 | $44.67 | $50.12 |
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 $44.67 Median $57.54 Typical High $102.33 | Professional | None | $44.67 | $57.54 | $102.33 |
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 $15.14 Median $18.62 Typical High $22.39 | Professional | 52 · Reduced service | $15.14 | $18.62 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.50 Typical High $6.76 | Professional | 55 · Aftercare only | $4.47 | $5.50 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.72 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.02 | $3.72 | $4.47 |
Where Illinois sits
The same service costs 2.6 times more in Nebraska than in Texas. 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· 36th of 51
$47.86
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.