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 $37.15 Median $38.02 Typical High $120.23 | Facility | None | $37.15 | $38.02 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | None | $37.15 | $37.15 | $58.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $501.19 | Facility | None | $89.13 | $120.23 | $501.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | None | $45.71 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None | $33.88 | $33.88 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $120.23 | Professional | None | $61.66 | $83.18 | $120.23 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | None | $54.95 | $54.95 | $60.26 |
United Setting Facility Modifier None Typical Low $19.05 Median $74.13 Typical High $117.49 | Facility | None | $19.05 | $74.13 | $117.49 |
United Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $87.10 | Professional | None | $32.36 | $36.31 | $87.10 |
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 $18.62 Median $18.62 Typical High $29.51 | Professional | 52 · Reduced service | $18.62 | $18.62 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $11.75 | Professional | 53 · Discontinued | $7.41 | $7.41 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $8.91 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $5.89 |
Where Illinois sits
The same service costs 2.9 times more in Kansas 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· 23rd of 51
$50.12
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.