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 $1,071.52 Median $1,071.52 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,071.52 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,071.52 | $1,584.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,467.37 Typical High $14,454.40 | Facility | None | $2,570.40 | $3,467.37 | $14,454.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
Hally Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,659.59 | $2,089.30 | $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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,548.82 | $1,548.82 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $3,090.30 | Facility | None | $1,258.93 | $2,137.96 | $3,090.30 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $2,454.71 | Professional | None | $851.14 | $1,047.13 | $2,454.71 |
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 $537.03 Typical High $794.33 | Professional | 52 · Reduced service | $537.03 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $316.23 | Professional | 53 · Discontinued | $213.80 | $213.80 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $158.49 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $158.49 |
Where Illinois sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 18th of 51
$1,445
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.