How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.31 Median $7.59 Typical High $13.80 | Facility | None | $6.31 | $7.59 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $11.48 | Professional | None | $6.31 | $7.59 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.80 Typical High $5.75 | Professional | 52 · Reduced service | $3.16 | $3.80 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.51 Typical High $2.29 | Professional | 53 · Discontinued | $1.26 | $1.51 | $2.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.93 Median $1.12 Typical High $1.74 | Professional | 55 · Aftercare only | $0.93 | $1.12 | $1.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.63 Median $0.76 Typical High $1.15 | Professional | 56 · Pre-op care only | $0.63 | $0.76 | $1.15 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $36.31 Median $77.62 Typical High $154.88 | Facility | None | $36.31 | $77.62 | $154.88 |
BCBS Illinois Setting Professional Modifier None Typical Low $6.46 Median $10.23 Typical High $10.23 | Professional | None | $6.46 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.51 | Facility | None | $8.13 | $8.13 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $9.55 | Professional | None | $6.92 | $6.92 | $9.55 |
Hally Health Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $18.62 | Professional | None | $11.48 | $13.49 | $18.62 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $5.25 Median $6.76 Typical High $15.85 | Professional | None | $5.25 | $6.76 | $15.85 |
Where Illinois sits
The same service costs 2.2 times more in Hawaii than in Maine. 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
$8.32
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.