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 $2.14 Median $2.45 Typical High $9.12 | Facility | None | $2.14 | $2.45 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
BCBS Illinois Setting Facility Modifier None Typical Low $2.29 Median $3.89 Typical High $12.02 | Facility | None | $2.29 | $3.89 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $4.90 Typical High $5.89 | Facility | None | $3.31 | $4.90 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Hally Health Setting Professional Modifier None Typical Low $2.00 Median $3.02 Typical High $12.30 | Professional | None | $2.00 | $3.02 | $12.30 |
Hally Health Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $5.50 | Facility | None | $2.45 | $2.45 | $5.50 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.57 | Professional | None | $2.40 | $2.40 | $2.57 |
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 $1.23 Median $1.23 Typical High $1.23 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.37 Typical High $0.37 | Professional | 55 · Aftercare only | $0.37 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.25 |
Where Illinois sits
The same service costs 1.7 times more in Arizona than in Iowa. 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· 22nd of 51
$2.45
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.