How much rates vary
Facilitymedian $1,950 · 10th to 90th $525 to $19,498Professionalmedian $3,802 · 10th to 90th $3,236 to $7,079
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 $933.25 Median $3,801.89 Typical High $9,120.11 | Facility | None | $933.25 | $3,801.89 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,737.80 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $707.95 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,884.03 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,630.27 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $524.81 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $346.74 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $2,691.53 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,454.71 | $2,691.53 | $2,691.53 |
BCBS Illinois Setting Facility Modifier None Typical Low $19,498.45 Median $41,686.94 Typical High $85,113.80 | Facility | None | $19,498.45 | $41,686.94 | $85,113.80 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Hally Health Setting Professional Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $16,982.44 | Professional | None | $3,801.89 | $5,623.41 | $16,982.44 |
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 $4,073.80 Median $4,677.35 Typical High $5,248.07 | Professional | None | $4,073.80 | $4,677.35 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $354.81 | Professional | None | $33.11 | $33.11 | $354.81 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $7,079.46 | Facility | None | $489.78 | $1,258.93 | $7,079.46 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $7,244.36 | Professional | None | $3,467.37 | $4,073.80 | $7,244.36 |
Where Illinois sits
The same service costs 27.5 times more in Alaska than in Texas. 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· 37th of 51
$3,802
AK $14,454TX $525
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.