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 $16.22 Median $16.22 Typical High $32.36 | Facility | None | $16.22 | $16.22 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $26.30 | Professional | None | $16.22 | $16.22 | $26.30 |
BCBS Illinois Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $218.78 | Facility | None | $38.90 | $53.70 | $218.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $24.55 | Professional | None | $18.62 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Facility | None | $22.39 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | None | $16.22 | $16.22 | $22.39 |
Hally Health Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $50.12 | Professional | None | $26.92 | $34.67 | $50.12 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $26.92 | Professional | None | $18.20 | $18.20 | $26.92 |
United Setting Facility Modifier None Typical Low $19.95 Median $32.36 Typical High $48.98 | Facility | None | $19.95 | $32.36 | $48.98 |
United Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $37.15 | Professional | None | $13.49 | $15.85 | $37.15 |
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 $8.13 Median $8.13 Typical High $12.88 | Professional | 52 · Reduced service | $8.13 | $8.13 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $5.25 | Professional | 53 · Discontinued | $3.31 | $3.31 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $3.89 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $2.57 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $2.57 |
Where Illinois sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 18th of 51
$23.99
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.