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 $141.25 Median $154.88 Typical High $281.84 | Facility | None | $141.25 | $154.88 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $223.87 | Professional | None | $141.25 | $144.54 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $263.03 | Professional | None | $177.83 | $190.55 | $263.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $2,691.53 | Facility | None | $338.84 | $407.38 | $2,691.53 |
BCBS Illinois Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | None | $190.55 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | None | $104.71 | $104.71 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $389.05 | Professional | None | $234.42 | $275.42 | $389.05 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $229.09 | Professional | None | $109.65 | $109.65 | $229.09 |
United Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $398.11 | Facility | None | $281.84 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $323.59 | Professional | None | $123.03 | $138.04 | $323.59 |
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 $70.79 Median $70.79 Typical High $104.71 | Professional | 52 · Reduced service | $70.79 | $70.79 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $41.69 | Professional | 53 · Discontinued | $28.18 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $31.62 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $20.89 |
Where Illinois sits
The same service costs 2.2 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· 21st of 51
$195
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.