How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $154.88 Median $1,258.93 Typical High $8,511.38 | Facility | Global | $154.88 | $1,258.93 | $8,511.38 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $40.74 Median $104.71 Typical High $147.91 | Facility | 52 · Reduced service | $40.74 | $104.71 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $41.69 Typical High $58.88 | Facility | 53 · Discontinued | $16.22 | $41.69 | $58.88 |
Aetna Setting Professional Modifier Global Typical Low $81.28 Median $229.09 Typical High $549.54 | Professional | Global | $81.28 | $229.09 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $95.50 Typical High $177.83 | Professional | 52 · Reduced service | $40.74 | $95.50 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $43.65 Typical High $72.44 | Professional | 53 · Discontinued | $16.22 | $43.65 | $72.44 |
Ambetter Setting Professional Modifier Global Typical Low $74.13 Median $234.42 Typical High $295.12 | Professional | Global | $74.13 | $234.42 | $295.12 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
BCBS Setting Facility Modifier Global Typical Low $489.78 Median $1,000.00 Typical High $1,905.46 | Facility | Global | $489.78 | $1,000.00 | $1,905.46 |
BCBS Setting Professional Modifier Global Typical Low $95.50 Median $213.80 Typical High $467.74 | Professional | Global | $95.50 | $213.80 | $467.74 |
Cigna Setting Professional Modifier Global Typical Low $97.72 Median $218.78 Typical High $363.08 | Professional | Global | $97.72 | $218.78 | $363.08 |
Hally Health Setting Professional Modifier Global Typical Low $117.49 Median $309.03 Typical High $870.96 | Professional | Global | $117.49 | $309.03 | $870.96 |
Hally Health Setting Facility Modifier Global Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | Global | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier Global Typical Low $93.33 Median $100.00 Typical High $288.40 | Professional | Global | $93.33 | $100.00 | $288.40 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | Global | $32.36 | $33.11 | $33.11 |
United Setting Facility Modifier Global Typical Low $588.84 Median $1,380.38 Typical High $3,548.13 | Facility | Global | $588.84 | $1,380.38 | $3,548.13 |
United Setting Professional Modifier Global Typical Low $95.50 Median $213.80 Typical High $389.05 | Professional | Global | $95.50 | $213.80 | $389.05 |
Where Illinois sits
The same service costs 2.3 times more in Wisconsin than in West Virginia. 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
$257
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.