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 $602.56 Median $602.56 Typical High $1,202.26 | Facility | None | $602.56 | $602.56 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $954.99 | Professional | None | $602.56 | $602.56 | $954.99 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $8,128.31 | Facility | None | $1,445.44 | $1,995.26 | $8,128.31 |
BCBS Illinois Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $912.01 | Professional | None | $812.83 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,698.24 | Professional | None | $933.25 | $1,258.93 | $1,698.24 |
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | None | $954.99 | $954.99 | $977.24 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,905.46 | Facility | None | $776.25 | $1,202.26 | $1,905.46 |
United Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $1,412.54 | Professional | None | $537.03 | $588.84 | $1,412.54 |
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 $302.00 Median $302.00 Typical High $478.63 | Professional | 52 · Reduced service | $302.00 | $302.00 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $190.55 | Professional | 53 · Discontinued | $120.23 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $144.54 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $95.50 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $95.50 |
Where Illinois sits
The same service costs 4.6 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· 25th of 51
$813
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.