How much rates vary
Facilitymedian $4 · 10th to 90th $0 to $19Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.25 Median $0.30 Typical High $0.54 | Facility | None | $0.25 | $0.30 | $0.54 |
Aetna Setting Professional Modifier None Typical Low $0.19 Median $0.30 Typical High $0.45 | Professional | None | $0.19 | $0.30 | $0.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.13 Median $0.15 Typical High $0.24 | Professional | 52 · Reduced service | $0.13 | $0.15 | $0.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.05 Median $0.06 Typical High $0.09 | Professional | 53 · Discontinued | $0.05 | $0.06 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.05 Typical High $0.07 | Professional | 55 · Aftercare only | $0.04 | $0.05 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.05 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.03 Typical High $0.17 | Professional | RR · Rental | $0.03 | $0.03 | $0.17 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | None | $38.02 | $40.74 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $2.75 Median $5.50 Typical High $19.50 | Facility | None | $2.75 | $5.50 | $19.50 |
BCBS Illinois Setting Professional Modifier None Typical Low $0.65 Median $0.78 Typical High $1.82 | Professional | None | $0.65 | $0.78 | $1.82 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Hally Health Setting Professional Modifier None Typical Low $0.48 Median $0.63 Typical High $1.58 | Professional | None | $0.48 | $0.63 | $1.58 |
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 $0.69 Median $0.69 Typical High $0.81 | Professional | None | $0.69 | $0.69 | $0.81 |
Molina Setting Professional Modifier None Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | None | $0.25 | $0.25 | $0.25 |
United Setting Professional Modifier None Typical Low $0.24 Median $0.26 Typical High $0.63 | Professional | None | $0.24 | $0.26 | $0.63 |
Where Illinois sits
The same service costs 4.6 times more in Hawaii than in Rhode Island. 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· 44th of 51
$0.30
HI $1.05RI $0.23
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.