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 $33.11 Median $45.71 Typical High $64.57 | Facility | None | $33.11 | $45.71 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None | $33.11 | $33.11 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $5.01 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.31 | $3.31 | $3.31 |
BCBS Illinois Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $275.42 | Facility | None | $72.44 | $104.71 | $275.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | None | $32.36 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $81.28 | Facility | None | $44.67 | $66.07 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None | $33.11 | $33.11 | $33.88 |
Hally Health Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $74.13 | Professional | None | $29.51 | $37.15 | $74.13 |
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 $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $45.71 | Professional | None | $30.90 | $38.90 | $45.71 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $74.13 | Facility | None | $33.11 | $33.11 | $74.13 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $35.48 | Professional | None | $30.90 | $33.88 | $35.48 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | JZ · No drug discarded | $30.90 | $30.90 | $31.62 |
Where Illinois sits
Rates are fairly even across states for this service. 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· 20th of 51
$33.11
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.