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 $588.84 Median $2,137.96 Typical High $7,762.47 | Facility | None | $588.84 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $489.78 | Professional | None | $302.00 | $302.00 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $229.09 | Professional | 52 · Reduced service | $151.36 | $151.36 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | 53 · Discontinued | $60.26 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $338.84 | Professional | 54 · Surgery only | $223.87 | $223.87 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $67.61 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $45.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $7,413.10 Median $9,332.54 Typical High $11,481.54 | Facility | None | $7,413.10 | $9,332.54 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $8,709.64 Typical High $11,220.18 | Facility | None | $758.58 | $8,709.64 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | None | $602.56 | $660.69 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $812.83 | Professional | None | $100.00 | $151.36 | $812.83 |
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 |
Molina Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,995.26 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,398.83 | $7,585.78 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $1,023.29 | Professional | None | $467.74 | $602.56 | $1,023.29 |
Where Illinois sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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· 41st of 51
$603
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.