How much rates vary
Facilitymedian $1,549 · 10th to 90th $407 to $7,413Professionalmedian $200 · 10th to 90th $89 to $1,047
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 $95.50 Median $1,258.93 Typical High $7,762.47 | Facility | None | $95.50 | $1,258.93 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $707.95 | Professional | None | $89.13 | $173.78 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $74.13 Typical High $354.81 | Professional | 52 · Reduced service | $44.67 | $74.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $30.20 Typical High $141.25 | Professional | 53 · Discontinued | $17.78 | $30.20 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $112.20 Typical High $537.03 | Professional | 54 · Surgery only | $66.07 | $112.20 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $22.39 Typical High $107.15 | Professional | 55 · Aftercare only | $13.49 | $22.39 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $15.14 Typical High $70.79 | Professional | 56 · Pre-op care only | $8.91 | $15.14 | $70.79 |
BCBS Illinois Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,659.59 | Facility | None | $407.38 | $645.65 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None Typical Low $87.10 Median $295.12 Typical High $1,047.13 | Professional | None | $87.10 | $295.12 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $1,023.29 | Professional | None | $97.72 | $199.53 | $1,023.29 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $676.08 Typical High $1,000.00 | Professional | None | $104.71 | $676.08 | $1,000.00 |
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 $109.65 Median $114.82 Typical High $851.14 | Professional | None | $109.65 | $114.82 | $851.14 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,884.03 Typical High $12,589.25 | Facility | None | $851.14 | $2,884.03 | $12,589.25 |
United Setting Professional Modifier None Typical Low $93.33 Median $199.53 Typical High $891.25 | Professional | None | $93.33 | $199.53 | $891.25 |
Where Illinois sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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· 32nd of 51
$214
WA $933DC $97.72
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.