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 $154.88 Median $154.88 Typical High $309.03 | Facility | None | $154.88 | $154.88 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $245.47 | Professional | None | $154.88 | $154.88 | $245.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $371.54 Median $512.86 Typical High $2,089.30 | Facility | None | $371.54 | $512.86 | $2,089.30 |
BCBS Illinois Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | None | $208.93 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $398.11 | Professional | None | $245.47 | $302.00 | $398.11 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | None | $229.09 | $229.09 | $251.19 |
United Setting Facility Modifier None Typical Low $177.83 Median $309.03 Typical High $436.52 | Facility | None | $177.83 | $309.03 | $436.52 |
United Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $354.81 | Professional | None | $120.23 | $151.36 | $354.81 |
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 $77.62 Median $77.62 Typical High $117.49 | Professional | 52 · Reduced service | $77.62 | $77.62 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $30.90 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $34.67 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $23.44 |
Where Illinois sits
The same service costs 3.5 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· 18th of 51
$209
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.