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 $63.10 Median $102.33 Typical High $177.83 | Facility | None | $63.10 | $102.33 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $147.91 | Professional | None | $70.79 | $93.33 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $141.25 | Professional | None | $104.71 | $109.65 | $141.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $1,348.96 | Facility | None | $245.47 | $398.11 | $1,348.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $147.91 | Professional | None | $75.86 | $109.65 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $173.78 | Professional | None | $72.44 | $112.20 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $234.42 | Professional | None | $83.18 | $128.82 | $234.42 |
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 $93.33 Median $97.72 Typical High $151.36 | Professional | None | $93.33 | $97.72 | $151.36 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | None | $31.62 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $181.97 | Professional | None | $74.13 | $109.65 | $181.97 |
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 $35.48 Median $41.69 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.30 Typical High $15.49 | Professional | 55 · Aftercare only | $10.47 | $12.30 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.32 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.08 | $8.32 | $10.47 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $109.65 Median $114.82 Typical High $125.89 | Professional | 25 · Same-day visit | $109.65 | $114.82 | $125.89 |
Where Illinois sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 32nd 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.