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 $1,096.48 Median $1,096.48 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,096.48 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,096.48 | $1,778.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $19,498.45 | Facility | None | $2,630.27 | $3,715.35 | $19,498.45 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,348.96 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
Hally Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,137.96 | $2,884.03 |
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,737.80 | $1,737.80 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $2,884.03 | Facility | None | $1,174.90 | $2,187.76 | $2,884.03 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $2,511.89 | Professional | None | $812.83 | $1,071.52 | $2,511.89 |
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 $537.03 Median $549.54 Typical High $794.33 | Professional | 52 · Reduced service | $537.03 | $549.54 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $223.87 Typical High $316.23 | Professional | 53 · Discontinued | $213.80 | $223.87 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $165.96 Typical High $239.88 | Professional | 55 · Aftercare only | $162.18 | $165.96 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $109.65 Typical High $158.49 | Professional | 56 · Pre-op care only | $107.15 | $109.65 | $158.49 |
Where Illinois sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 20th of 51
$1,479
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.