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 $125.89 Median $125.89 Typical High $251.19 | Facility | None | $125.89 | $125.89 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $177.83 | Professional | None | $120.23 | $125.89 | $177.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $295.12 Median $407.38 Typical High $1,698.24 | Facility | None | $295.12 | $407.38 | $1,698.24 |
BCBS Illinois Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $190.55 | Professional | None | $134.90 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $309.03 | Professional | None | $190.55 | $245.47 | $309.03 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | None | $194.98 | $194.98 | $204.17 |
United Setting Facility Modifier None Typical Low $87.10 Median $251.19 Typical High $323.59 | Facility | None | $87.10 | $251.19 | $323.59 |
United Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $288.40 | Professional | None | $93.33 | $120.23 | $288.40 |
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 $60.26 Median $63.10 Typical High $89.13 | Professional | 52 · Reduced service | $60.26 | $63.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.12 Typical High $35.48 | Professional | 53 · Discontinued | $23.99 | $25.12 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.62 Typical High $26.92 | Professional | 55 · Aftercare only | $18.20 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.59 Typical High $17.78 | Professional | 56 · Pre-op care only | $12.02 | $12.59 | $17.78 |
Where Illinois sits
The same service costs 2.5 times more in Montana than in Florida. 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
$151
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.