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 $501.19 Median $501.19 Typical High $1,000.00 | Facility | None | $501.19 | $501.19 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $707.95 | Professional | None | $478.63 | $501.19 | $707.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $6,760.83 | Facility | None | $1,202.26 | $1,621.81 | $6,760.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $758.58 | Professional | None | $630.96 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Hally Health Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,348.96 | Professional | None | $776.25 | $977.24 | $1,348.96 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | None | $724.44 | $724.44 | $812.83 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $1,348.96 | Facility | None | $478.63 | $1,000.00 | $1,348.96 |
United Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $1,148.15 | Professional | None | $371.54 | $489.78 | $1,148.15 |
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 $239.88 Median $251.19 Typical High $354.81 | Professional | 52 · Reduced service | $239.88 | $251.19 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $100.00 Typical High $141.25 | Professional | 53 · Discontinued | $95.50 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $74.13 Typical High $107.15 | Professional | 55 · Aftercare only | $72.44 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $50.12 Typical High $70.79 | Professional | 56 · Pre-op care only | $47.86 | $50.12 | $70.79 |
Where Illinois sits
The same service costs 3.2 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
$631
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.