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 $0.81 Median $0.98 Typical High $1.78 | Facility | None | $0.81 | $0.98 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.98 Typical High $1.45 | Professional | None | $0.81 | $0.98 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.15 Typical High $0.22 | Professional | 55 · Aftercare only | $0.12 | $0.15 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.10 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.08 | $0.10 | $0.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $1.70 Median $3.80 Typical High $15.49 | Facility | None | $1.70 | $3.80 | $15.49 |
BCBS Illinois Setting Professional Modifier None Typical Low $0.91 Median $1.32 Typical High $1.32 | Professional | None | $0.91 | $1.32 | $1.32 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Hally Health Setting Professional Modifier None Typical Low $1.48 Median $2.00 Typical High $12.30 | Professional | None | $1.48 | $2.00 | $12.30 |
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 $2.19 Median $2.19 Typical High $2.24 | Professional | None | $2.19 | $2.19 | $2.24 |
United Setting Professional Modifier None Typical Low $0.79 Median $0.87 Typical High $2.09 | Professional | None | $0.79 | $0.87 | $2.09 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | KX · Policy requirements met | $1.20 | $1.20 | $1.20 |
Where Illinois sits
The same service costs 3.1 times more in Hawaii than in Utah. 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· 44th of 51
$0.98
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.