How much rates vary
Facilitymedian $8 · 10th to 90th $5 to $32Professionalmedian $2 · 10th to 90th $2 to $5
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 $2.04 Median $2.45 Typical High $5.62 | Facility | None | $2.04 | $2.45 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.45 Typical High $3.24 | Professional | None | $2.04 | $2.45 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.23 Typical High $1.62 | Professional | 52 · Reduced service | $1.02 | $1.23 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.49 Typical High $0.65 | Professional | 53 · Discontinued | $0.41 | $0.49 | $0.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.37 Typical High $0.49 | Professional | 55 · Aftercare only | $0.31 | $0.37 | $0.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.25 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.20 | $0.25 | $0.33 |
Aetna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | AU · Urologic/ostomy supply | $1.20 | $1.20 | $1.20 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
BCBS Illinois Setting Facility Modifier None Typical Low $5.13 Median $8.13 Typical High $32.36 | Facility | None | $5.13 | $8.13 | $32.36 |
BCBS Illinois Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $7.24 | Professional | None | $5.25 | $6.46 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Hally Health Setting Professional Modifier None Typical Low $3.72 Median $4.79 Typical High $22.39 | Professional | None | $3.72 | $4.79 | $22.39 |
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 $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Molina Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.19 Typical High $5.37 | Professional | None | $1.74 | $2.19 | $5.37 |
Where Illinois sits
The same service costs 4.4 times more in Minnesota than in New Hampshire. 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· 21st of 51
$2.45
MN $5.25NH $1.20
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.