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 $41.69 Median $41.69 Typical High $83.18 | Facility | None | $41.69 | $41.69 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $58.88 | Professional | None | $40.74 | $41.69 | $58.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $562.34 | Facility | None | $100.00 | $138.04 | $562.34 |
BCBS Illinois Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $63.10 | Professional | None | $45.71 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $114.82 | Professional | None | $64.57 | $81.28 | $114.82 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | None | $46.77 | $46.77 | $67.61 |
United Setting Facility Modifier None Typical Low $38.90 Median $109.65 Typical High $109.65 | Facility | None | $38.90 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $95.50 | Professional | None | $30.90 | $40.74 | $95.50 |
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 $20.42 Median $20.89 Typical High $30.20 | Professional | 52 · Reduced service | $20.42 | $20.89 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.32 Typical High $12.02 | Professional | 53 · Discontinued | $8.13 | $8.32 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.31 Typical High $8.91 | Professional | 55 · Aftercare only | $6.17 | $6.31 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.17 Typical High $6.03 | Professional | 56 · Pre-op care only | $4.07 | $4.17 | $6.03 |
Where Illinois sits
The same service costs 2.9 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
$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.