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 $30.90 Median $30.90 Typical High $61.66 | Facility | None | $30.90 | $30.90 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | None | $30.90 | $30.90 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | None | $46.77 | $46.77 | $61.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $416.87 | Facility | None | $74.13 | $102.33 | $416.87 |
BCBS Illinois Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | None | $41.69 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $89.13 | Professional | None | $51.29 | $60.26 | $89.13 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | None | $45.71 | $45.71 | $50.12 |
United Setting Facility Modifier None Typical Low $35.48 Median $61.66 Typical High $87.10 | Facility | None | $35.48 | $61.66 | $87.10 |
United Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $70.79 | Professional | None | $23.99 | $30.20 | $70.79 |
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 $15.49 Median $15.49 Typical High $23.44 | Professional | 52 · Reduced service | $15.49 | $15.49 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $9.33 | Professional | 53 · Discontinued | $6.17 | $6.17 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.68 Typical High $7.08 | Professional | 55 · Aftercare only | $4.68 | $4.68 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $4.68 |
Where Illinois sits
The same service costs 4.7 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· 16th of 51
$44.67
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.