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 $21.38 Median $30.20 Typical High $77.62 | Facility | None | $21.38 | $30.20 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | None | $21.38 | $21.38 | $27.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $35.48 Median $79.43 Typical High $177.83 | Facility | None | $35.48 | $79.43 | $177.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | None | $26.30 | $26.30 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $43.65 Typical High $52.48 | Facility | None | $29.51 | $43.65 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $61.66 | Professional | None | $21.38 | $34.67 | $61.66 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $48.98 | Facility | None | $21.38 | $21.38 | $48.98 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | None | $20.89 | $20.89 | $22.39 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 56 · Pre-op care only | $2.14 | $2.14 | $2.14 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | JZ · No drug discarded | $29.51 | $29.51 | $29.51 |
Where Illinois sits
The same service costs 1.9 times more in Alaska 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· 26th of 51
$22.39
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.