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 $4.17 Median $4.17 Typical High $16.60 | Facility | None | $4.17 | $4.17 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
BCBS Illinois Setting Facility Modifier None Typical Low $2.95 Median $4.27 Typical High $27.54 | Facility | None | $2.95 | $4.27 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $8.91 Typical High $10.72 | Facility | None | $6.03 | $8.91 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Hally Health Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $14.13 | Professional | None | $9.55 | $12.88 | $14.13 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $4.37 | Professional | None | $3.47 | $4.17 | $4.37 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $5.62 | Facility | None | $2.45 | $2.45 | $5.62 |
United Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.57 | Professional | None | $4.37 | $4.37 | $4.57 |
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 $2.09 Median $2.09 Typical High $2.09 | Professional | 52 · Reduced service | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 53 · Discontinued | $0.83 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.62 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | 56 · Pre-op care only | $0.42 | $0.42 | $0.42 |
Where Illinois sits
The same service costs 1.8 times more in Alaska than in Kentucky. 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· 18th of 51
$4.47
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.