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 $3,090.30 Median $3,388.44 Typical High $16,982.44 | Facility | None | $3,090.30 | $3,388.44 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $6,918.31 | Professional | None | $3,090.30 | $3,388.44 | $6,918.31 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
BCBS Illinois Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $676.08 | Professional | None | $562.34 | $616.60 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $16,982.44 | Professional | None | $398.11 | $537.03 | $16,982.44 |
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 $549.54 Median $549.54 Typical High $616.60 | Professional | None | $549.54 | $549.54 | $616.60 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $6,456.54 Typical High $12,882.50 | Facility | None | $2,238.72 | $6,456.54 | $12,882.50 |
United Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $4,168.69 | Professional | None | $436.52 | $676.08 | $4,168.69 |
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 $1,548.82 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,548.82 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $616.60 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,570.40 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,290.87 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $457.09 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $338.84 Typical High $338.84 | Professional | 56 · Pre-op care only | $309.03 | $338.84 | $338.84 |
Where Illinois sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 31st of 51
$2,951
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.