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 $223.87 Median $223.87 Typical High $436.52 | Facility | None | $223.87 | $223.87 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $346.74 | Professional | None | $223.87 | $223.87 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | None | $194.98 | $194.98 | $213.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $2,951.21 | Facility | None | $524.81 | $724.44 | $2,951.21 |
BCBS Illinois Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None | $194.98 | $194.98 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $602.56 | Professional | None | $346.74 | $436.52 | $602.56 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | None | $323.59 | $323.59 | $363.08 |
United Setting Facility Modifier None Typical Low $213.80 Median $436.52 Typical High $676.08 | Facility | None | $213.80 | $436.52 | $676.08 |
United Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $512.86 | Professional | None | $186.21 | $213.80 | $512.86 |
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 $109.65 Median $109.65 Typical High $162.18 | Professional | 52 · Reduced service | $109.65 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $66.07 | Professional | 53 · Discontinued | $44.67 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $33.11 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $33.11 |
Where Illinois sits
The same service costs 4.7 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
$302
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.