How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $9Professionalmedian $1 · 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 $0.41 Median $0.50 Typical High $0.89 | Facility | None | $0.41 | $0.50 | $0.89 |
Aetna Setting Professional Modifier None Typical Low $0.41 Median $0.50 Typical High $0.83 | Professional | None | $0.41 | $0.50 | $0.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.21 Median $0.25 Typical High $0.36 | Professional | 52 · Reduced service | $0.21 | $0.25 | $0.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.10 Typical High $0.14 | Professional | 53 · Discontinued | $0.08 | $0.10 | $0.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.08 Typical High $0.10 | Professional | 55 · Aftercare only | $0.06 | $0.08 | $0.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.05 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.04 | $0.05 | $0.07 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $1.58 Median $2.63 Typical High $8.51 | Facility | None | $1.58 | $2.63 | $8.51 |
BCBS Illinois Setting Professional Modifier None Typical Low $0.50 Median $0.68 Typical High $0.68 | Professional | None | $0.50 | $0.68 | $0.68 |
Cigna Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | None | $0.45 | $0.45 | $0.45 |
Hally Health Setting Professional Modifier None Typical Low $0.76 Median $0.98 Typical High $2.24 | Professional | None | $0.76 | $0.98 | $2.24 |
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 $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Molina Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
United Setting Professional Modifier None Typical Low $0.37 Median $0.44 Typical High $1.07 | Professional | None | $0.37 | $0.44 | $1.07 |
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· 28th of 51
$0.50
HI $0.98UT $0.37
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.