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 $50.12 Median $50.12 Typical High $100.00 | Facility | None | $50.12 | $50.12 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $72.44 | Professional | None | $48.98 | $50.12 | $72.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $676.08 | Facility | None | $120.23 | $162.18 | $676.08 |
BCBS Illinois Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | None | $61.66 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $63.10 | Professional | None | $45.71 | $45.71 | $63.10 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $141.25 | Professional | None | $83.18 | $104.71 | $141.25 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | None | $74.13 | $74.13 | $81.28 |
United Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $151.36 | Facility | None | $61.66 | $100.00 | $151.36 |
United Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $114.82 | Professional | None | $41.69 | $48.98 | $114.82 |
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 $24.55 Median $25.12 Typical High $37.15 | Professional | 52 · Reduced service | $24.55 | $25.12 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $14.79 | Professional | 53 · Discontinued | $10.00 | $10.00 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.59 Typical High $11.22 | Professional | 55 · Aftercare only | $7.41 | $7.59 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.01 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.90 | $5.01 | $7.41 |
Where Illinois sits
The same service costs 4.3 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· 22nd of 51
$63.10
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.