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 $67.61 Median $107.15 Typical High $186.21 | Facility | None | $67.61 | $107.15 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $147.91 | Professional | None | $70.79 | $100.00 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $151.36 | Professional | None | $100.00 | $114.82 | $151.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $1,412.54 | Facility | None | $245.47 | $398.11 | $1,412.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $154.88 | Professional | None | $81.28 | $114.82 | $154.88 |
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 $109.65 Typical High $181.97 | Professional | None | $72.44 | $109.65 | $181.97 |
Hally Health Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $245.47 | Professional | None | $87.10 | $131.83 | $245.47 |
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 $100.00 Median $102.33 Typical High $154.88 | Professional | None | $100.00 | $102.33 | $154.88 |
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 $75.86 Median $114.82 Typical High $190.55 | Professional | None | $75.86 | $114.82 | $190.55 |
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 $36.31 Median $42.66 Typical High $53.70 | Professional | 52 · Reduced service | $36.31 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.88 Typical High $16.22 | Professional | 55 · Aftercare only | $10.96 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.71 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.24 | $8.71 | $10.72 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $109.65 Median $117.49 Typical High $128.82 | Professional | 25 · Same-day visit | $109.65 | $117.49 | $128.82 |
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· 31st of 51
$107
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.