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 $46.77 Median $46.77 Typical High $93.33 | Facility | None | $46.77 | $46.77 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $74.13 | Professional | None | $46.77 | $46.77 | $74.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $933.25 | Facility | None | $123.03 | $489.78 | $933.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | None | $57.54 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | None | $44.67 | $44.67 | $61.66 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $288.40 | Professional | None | $83.18 | $128.82 | $288.40 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None | $74.13 | $74.13 | $77.62 |
United Setting Facility Modifier None Typical Low $93.33 Median $134.90 Typical High $134.90 | Facility | None | $93.33 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $112.20 | Professional | None | $37.15 | $45.71 | $112.20 |
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 $23.44 Median $23.44 Typical High $36.31 | Professional | 52 · Reduced service | $23.44 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | 53 · Discontinued | $9.33 | $9.33 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $10.96 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $7.24 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $7.24 |
Where Illinois sits
The same service costs 2.3 times more in Kansas 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· 19th of 51
$64.57
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.