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 $416.87 Median $416.87 Typical High $676.08 | Facility | None | $416.87 | $416.87 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $602.56 | Professional | None | $416.87 | $416.87 | $602.56 |
BCBS Illinois Setting Facility Modifier None Typical Low $812.83 Median $977.24 Typical High $8,317.64 | Facility | None | $812.83 | $977.24 | $8,317.64 |
BCBS Illinois Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | None | $457.09 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Hally Health Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,318.26 | Professional | None | $588.84 | $870.96 | $1,318.26 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,479.11 Typical High $1,479.11 | Facility | None | $676.08 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,445.44 | Professional | None | $524.81 | $616.60 | $1,445.44 |
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 $208.93 Median $208.93 Typical High $269.15 | Professional | 52 · Reduced service | $208.93 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | 53 · Discontinued | $83.18 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $81.28 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $53.70 |
Where Illinois sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 48th of 51
$513
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.