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 $66.07 Median $66.07 Typical High $128.82 | Facility | None | $66.07 | $66.07 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $97.72 | Professional | None | $66.07 | $66.07 | $97.72 |
BCBS Illinois Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $1,258.93 | Facility | None | $154.88 | $186.21 | $1,258.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | None | $85.11 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $173.78 | Professional | None | $107.15 | $125.89 | $173.78 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | None | $95.50 | $95.50 | $107.15 |
United Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $186.21 | Facility | None | $128.82 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $147.91 | Professional | None | $51.29 | $63.10 | $147.91 |
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 $32.36 Median $32.36 Typical High $47.86 | Professional | 52 · Reduced service | $32.36 | $32.36 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $19.50 | Professional | 53 · Discontinued | $13.18 | $13.18 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $14.45 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $9.77 |
Where Illinois sits
The same service costs 2.6 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· 19th of 51
$85.11
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.