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 $223.87 Median $302.00 Typical High $407.38 | Facility | None | $223.87 | $302.00 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $407.38 | Professional | None | $223.87 | $309.03 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $467.74 | Professional | None | $257.04 | $257.04 | $467.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $3,981.07 | Facility | None | $229.09 | $275.42 | $3,981.07 |
BCBS Illinois Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $524.81 | Professional | None | $371.54 | $416.87 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Hally Health Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $724.44 | Professional | None | $380.19 | $478.63 | $724.44 |
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 $489.78 Median $512.86 Typical High $616.60 | Professional | None | $489.78 | $512.86 | $616.60 |
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 $416.87 Median $416.87 Typical High $478.63 | Facility | None | $416.87 | $416.87 | $478.63 |
United Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $691.83 | Professional | None | $295.12 | $416.87 | $691.83 |
4 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 $151.36 Median $190.55 Typical High $204.17 | Professional | 52 · Reduced service | $151.36 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $60.26 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $56.23 Typical High $61.66 | Professional | 55 · Aftercare only | $45.71 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $30.20 | $38.02 | $40.74 |
Where Illinois sits
The same service costs 2.1 times more in Wyoming 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· 37th of 51
$372
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.