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 $1.82 Median $2.14 Typical High $7.94 | Facility | None | $1.82 | $2.14 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
BCBS Illinois Setting Facility Modifier None Typical Low $4.79 Median $7.94 Typical High $17.38 | Facility | None | $4.79 | $7.94 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $4.27 Typical High $5.13 | Facility | None | $2.88 | $4.27 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Hally Health Setting Professional Modifier None Typical Low $1.91 Median $2.88 Typical High $5.62 | Professional | None | $1.91 | $2.88 | $5.62 |
Hally Health Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $4.79 | Facility | None | $2.14 | $2.14 | $4.79 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.29 | Professional | None | $2.14 | $2.14 | $2.29 |
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 $1.07 Median $1.07 Typical High $1.07 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.21 |
Where Illinois sits
The same service costs 1.9 times more in Alaska than in Delaware. 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· 48th of 51
$2.14
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.