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 $66.07 Median $67.61 Typical High $131.83 | Facility | None | $66.07 | $67.61 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $104.71 | Professional | None | $66.07 | $66.07 | $104.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $891.25 | Facility | None | $158.49 | $218.78 | $891.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $100.00 | Professional | None | $81.28 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $100.00 | Facility | None | $77.62 | $77.62 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | None | $56.23 | $56.23 | $77.62 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $181.97 | Professional | None | $109.65 | $134.90 | $181.97 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | None | $97.72 | $97.72 | $107.15 |
United Setting Facility Modifier None Typical Low $60.26 Median $131.83 Typical High $199.53 | Facility | None | $60.26 | $131.83 | $199.53 |
United Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $151.36 | Professional | None | $54.95 | $64.57 | $151.36 |
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 $33.11 Median $33.11 Typical High $52.48 | Professional | 52 · Reduced service | $33.11 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $20.89 | Professional | 53 · Discontinued | $13.18 | $13.18 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $15.85 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $10.47 |
Where Illinois sits
The same service costs 3.1 times more in Hawaii 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· 21st of 51
$87.10
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.