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 $31.62 Median $36.31 Typical High $60.26 | Facility | None | $31.62 | $36.31 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $46.77 | Professional | None | $31.62 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.50 Typical High $7.08 | Professional | 55 · Aftercare only | $4.79 | $5.50 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $363.08 | Facility | None | $123.03 | $169.82 | $363.08 |
BCBS Illinois Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $107.15 | Professional | None | $69.18 | $85.11 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $50.12 | Facility | None | $40.74 | $40.74 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $213.80 | Professional | None | $50.12 | $70.79 | $213.80 |
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 $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $72.44 | Professional | None | $50.12 | $51.29 | $72.44 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $77.62 | Professional | None | $25.12 | $42.66 | $77.62 |
2 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 56 · Pre-op care only Typical Low $2.69 Median $3.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $2.69 | $3.89 | $6.03 |
Cigna Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Where Illinois sits
The same service costs 6.6 times more in Hawaii than in Wyoming. 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· 38th of 51
$36.31
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.