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 $81.28 Median $81.28 Typical High $162.18 | Facility | None | $81.28 | $81.28 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $117.49 | Professional | None | $79.43 | $81.28 | $117.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $269.15 Typical High $1,096.48 | Facility | None | $194.98 | $269.15 | $1,096.48 |
BCBS Illinois Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | None | $109.65 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | None | $75.86 | $75.86 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $208.93 | Professional | None | $128.82 | $158.49 | $208.93 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | None | $120.23 | $120.23 | $134.90 |
United Setting Facility Modifier None Typical Low $75.86 Median $162.18 Typical High $213.80 | Facility | None | $75.86 | $162.18 | $213.80 |
United Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $186.21 | Professional | None | $60.26 | $79.43 | $186.21 |
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 $39.81 Median $40.74 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $40.74 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $23.44 | Professional | 53 · Discontinued | $15.85 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.30 Typical High $17.38 | Professional | 55 · Aftercare only | $12.02 | $12.30 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.94 | $8.13 | $11.75 |
Where Illinois sits
The same service costs 3.2 times more in Hawaii 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· 15th of 51
$110
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.