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 $177.83 Median $177.83 Typical High $346.74 | Facility | None | $177.83 | $177.83 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $251.19 | Professional | None | $177.83 | $177.83 | $251.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $2,344.23 | Facility | None | $416.87 | $575.44 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | None | $239.88 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $446.68 | Professional | None | $263.03 | $346.74 | $446.68 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | None | $275.42 | $275.42 | $288.40 |
United Setting Facility Modifier None Typical Low $125.89 Median $346.74 Typical High $501.19 | Facility | None | $125.89 | $346.74 | $501.19 |
United Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $398.11 | Professional | None | $138.04 | $169.82 | $398.11 |
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 $89.13 Median $89.13 Typical High $125.89 | Professional | 52 · Reduced service | $89.13 | $89.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 53 · Discontinued | $35.48 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $25.12 |
Where Illinois sits
The same service costs 2.7 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· 19th of 51
$240
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.