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 $43.65 Median $45.71 Typical High $204.17 | Facility | None | $43.65 | $45.71 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | None | $43.65 | $43.65 | $44.67 |
BCBS Illinois Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $426.58 | Facility | None | $147.91 | $204.17 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $104.71 | Facility | None | $58.88 | $87.10 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Hally Health Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $223.87 | Professional | None | $50.12 | $74.13 | $223.87 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | None | $54.95 | $54.95 | $57.54 |
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 $21.88 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $6.76 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.47 |
Where Illinois sits
The same service costs 2.0 times more in Alaska 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· 7th of 51
$56.23
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.