How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $7Professionalmedian $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 $0.31 Typical High $0.55 | Facility | None | $0.25 | $0.31 | $0.55 |
Aetna Setting Professional Modifier None Typical Low $0.25 Median $0.31 Typical High $0.47 | Professional | None | $0.25 | $0.31 | $0.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.13 Median $0.16 Typical High $0.22 | Professional | 52 · Reduced service | $0.13 | $0.16 | $0.22 |
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 $0.06 | Professional | 55 · Aftercare only | $0.04 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | None | $38.90 | $40.74 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $0.79 Median $1.51 Typical High $6.76 | Facility | None | $0.79 | $1.51 | $6.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $0.43 Median $0.50 Typical High $0.50 | Professional | None | $0.43 | $0.50 | $0.50 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Hally Health Setting Professional Modifier None Typical Low $0.46 Median $0.60 Typical High $1.62 | Professional | None | $0.46 | $0.60 | $1.62 |
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 $0.71 Median $0.71 Typical High $0.71 | Professional | None | $0.71 | $0.71 | $0.71 |
Molina Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | None | $0.27 | $0.27 | $0.27 |
United Setting Professional Modifier None Typical Low $0.23 Median $0.28 Typical High $0.68 | Professional | None | $0.23 | $0.28 | $0.68 |
Where Illinois sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 19th of 51
$0.43
HI $0.59UT $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.