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 $724.44 Median $724.44 Typical High $1,445.44 | Facility | None | $724.44 | $724.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $1,023.29 | Professional | None | $707.95 | $724.44 | $1,023.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $13,803.84 | Facility | None | $1,737.80 | $2,089.30 | $13,803.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,096.48 | Professional | None | $812.83 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Hally Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,412.54 | $1,862.09 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,174.90 | Professional | None | $1,148.15 | $1,148.15 | $1,174.90 |
United Setting Facility Modifier None Typical Low $630.96 Median $1,445.44 Typical High $2,041.74 | Facility | None | $630.96 | $1,445.44 | $2,041.74 |
United Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,659.59 | Professional | None | $537.03 | $707.95 | $1,659.59 |
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 $354.81 Median $363.08 Typical High $512.86 | Professional | 52 · Reduced service | $354.81 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $204.17 | Professional | 53 · Discontinued | $141.25 | $144.54 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $109.65 Typical High $154.88 | Professional | 55 · Aftercare only | $107.15 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $72.44 Typical High $102.33 | Professional | 56 · Pre-op care only | $70.79 | $72.44 | $102.33 |
Where Illinois sits
The same service costs 3.2 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· 20th of 51
$891
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.