How much rates vary
Facilitymedian $6 · 10th to 90th $3 to $23Professionalmedian $1 · 10th to 90th $1 to $3
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 $1.23 Median $1.48 Typical High $2.63 | Facility | None | $1.23 | $1.48 | $2.63 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.48 Typical High $2.24 | Professional | None | $1.23 | $1.48 | $2.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.62 Median $0.74 Typical High $1.12 | Professional | 52 · Reduced service | $0.62 | $0.74 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.28 Typical High $0.45 | Professional | 53 · Discontinued | $0.24 | $0.28 | $0.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.22 Typical High $0.31 | Professional | 55 · Aftercare only | $0.18 | $0.22 | $0.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.15 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.12 | $0.15 | $0.22 |
Ambetter Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $3.39 Median $5.75 Typical High $22.91 | Facility | None | $3.39 | $5.75 | $22.91 |
BCBS Illinois Setting Professional Modifier None Typical Low $1.26 Median $2.00 Typical High $2.00 | Professional | None | $1.26 | $2.00 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Hally Health Setting Professional Modifier None Typical Low $2.24 Median $2.88 Typical High $6.61 | Professional | None | $2.24 | $2.88 | $6.61 |
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 $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Molina Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.32 Typical High $3.16 | Professional | None | $1.12 | $1.32 | $3.16 |
Where Illinois sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 31st of 51
$1.48
HI $2.88CO $1.12
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.