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 $1,023.29 Median $7,413.10 Typical High $17,782.79 | Facility | None | $1,023.29 | $7,413.10 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $9,549.93 | Professional | None | $676.08 | $676.08 | $9,549.93 |
BCBS Illinois Setting Facility Modifier None Typical Low $11,220.18 Median $14,791.08 Typical High $17,782.79 | Facility | None | $11,220.18 | $14,791.08 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $13,803.84 Typical High $16,982.44 | Facility | None | $7,413.10 | $13,803.84 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $346.74 | Professional | None | $100.00 | $125.89 | $346.74 |
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 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $9,772.37 Typical High $27,542.29 | Facility | None | $1,659.59 | $9,772.37 | $27,542.29 |
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 $338.84 Median $338.84 Typical High $549.54 | Professional | 52 · Reduced service | $338.84 | $338.84 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $218.78 | Professional | 53 · Discontinued | $134.90 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $831.76 | Professional | 54 · Surgery only | $501.19 | $501.19 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $109.65 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $109.65 |
Where Illinois sits
The same service costs 281.8 times more in Minnesota than in Montana. 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· 23rd of 51
$8,710
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.