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 $44.67 Median $50.12 Typical High $70.79 | Facility | None | $44.67 | $50.12 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $72.44 | Professional | None | $43.65 | $53.70 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $61.66 | Professional | None | $47.86 | $57.54 | $61.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $229.09 Typical High $831.76 | Facility | None | $134.90 | $229.09 | $831.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $81.28 | Professional | None | $47.86 | $58.88 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $95.50 | Professional | None | $51.29 | $69.18 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $144.54 | Professional | None | $51.29 | $72.44 | $144.54 |
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 $57.54 Median $58.88 Typical High $81.28 | Professional | None | $57.54 | $58.88 | $81.28 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $102.33 | Professional | None | $51.29 | $64.57 | $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 $21.38 Median $23.99 Typical High $28.84 | Professional | 52 · Reduced service | $21.38 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.08 Typical High $8.71 | Professional | 55 · Aftercare only | $6.31 | $7.08 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.79 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.27 | $4.79 | $5.75 |
Where Illinois sits
The same service costs 2.7 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· 30th of 51
$60.26
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.