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 $562.34 Median $794.33 Typical High $2,398.83 | Facility | None | $562.34 | $794.33 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $977.24 | Professional | None | $562.34 | $562.34 | $977.24 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $4,897.79 | Facility | None | $1,995.26 | $2,951.21 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,348.96 | Facility | None | $758.58 | $1,122.02 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $1,548.82 Typical High $2,398.83 | Professional | None | $537.03 | $1,548.82 | $2,398.83 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,258.93 | Facility | None | $562.34 | $562.34 | $1,258.93 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | None | $660.69 | $660.69 | $691.83 |
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 $281.84 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $57.54 |
Where Illinois sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 23rd of 51
$661
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.