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 $28.84 Median $38.90 Typical High $1,230.27 | Facility | None | $28.84 | $38.90 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $812.83 Typical High $1,258.93 | Professional | None | $28.84 | $812.83 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $537.03 Typical High $616.60 | Professional | 52 · Reduced service | $17.78 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $213.80 Typical High $251.19 | Professional | 53 · Discontinued | $7.76 | $213.80 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,202.26 | $1,584.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $263.03 Median $2,089.30 Typical High $2,754.23 | Facility | None | $263.03 | $2,089.30 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $31.62 Median $891.25 Typical High $1,380.38 | Professional | None | $31.62 | $891.25 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $1,071.52 Typical High $1,659.59 | Professional | None | $33.88 | $1,071.52 | $1,659.59 |
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 $41.69 Median $43.65 Typical High $1,548.82 | Professional | None | $41.69 | $43.65 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,365.16 | Facility | None | $3,801.89 | $3,801.89 | $4,365.16 |
United Setting Professional Modifier None Typical Low $26.30 Median $776.25 Typical High $1,659.59 | Professional | None | $26.30 | $776.25 | $1,659.59 |
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 55 · Aftercare only Typical Low $162.18 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $162.18 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $107.15 | $125.89 | $125.89 |
Where Illinois sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 40th of 51
$871
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.