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 $100.00 Median $128.82 Typical High $245.47 | Facility | None | $100.00 | $128.82 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $208.93 | Professional | None | $107.15 | $144.54 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $213.80 | Professional | None | $102.33 | $158.49 | $213.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $588.84 Typical High $2,089.30 | Facility | None | $346.74 | $588.84 | $2,089.30 |
BCBS Illinois Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $208.93 | Professional | None | $117.49 | $154.88 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $251.19 | Professional | None | $109.65 | $158.49 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $354.81 | Professional | None | $128.82 | $186.21 | $354.81 |
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 $147.91 Median $151.36 Typical High $213.80 | Professional | None | $147.91 | $151.36 | $213.80 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | None | $64.57 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $263.03 | Professional | None | $114.82 | $158.49 | $263.03 |
5 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 $53.70 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.20 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.72 | $12.30 | $14.79 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $87.10 Median $177.83 Typical High $177.83 | Professional | 25 · Same-day visit | $87.10 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | GC · Resident with teaching physician | $177.83 | $177.83 | $177.83 |
Where Illinois sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 28th of 51
$151
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.