How much rates vary
Facilitymedian $1,175 · 10th to 90th $490 to $6,607Professionalmedian $562 · 10th to 90th $468 to $933
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 $489.78 Median $1,621.81 Typical High $7,762.47 | Facility | None | $489.78 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | None | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $338.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $316.23 | $338.84 | $338.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $2,511.89 | Facility | None | $512.86 | $758.58 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $870.96 | Professional | None | $512.86 | $707.95 | $870.96 |
Hally Health Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $9,332.54 | Professional | None | $549.54 | $831.76 | $9,332.54 |
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 $645.65 Median $676.08 Typical High $741.31 | Professional | None | $645.65 | $676.08 | $741.31 |
Molina Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $851.14 | Professional | None | $524.81 | $776.25 | $851.14 |
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 $467.74 Median $562.34 Typical High $933.25 | Professional | None | $467.74 | $562.34 | $933.25 |
Where Illinois sits
The same service costs 11.7 times more in New York than in North Carolina. 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· 33rd of 51
$562
NY $3,802NC $324
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.