How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $10Professionalmedian $1 · 10th to 90th $1 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 $0.51 Median $1.91 Typical High $1.91 | Facility | None | $0.51 | $1.91 | $1.91 |
Aetna Setting Professional Modifier None Typical Low $0.51 Median $0.62 Typical High $0.85 | Professional | None | $0.51 | $0.62 | $0.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.26 Median $0.31 Typical High $0.44 | Professional | 52 · Reduced service | $0.26 | $0.31 | $0.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.12 Typical High $0.17 | Professional | 53 · Discontinued | $0.10 | $0.12 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.09 Typical High $0.13 | Professional | 55 · Aftercare only | $0.08 | $0.09 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.06 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.05 | $0.06 | $0.08 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
BCBS Illinois Setting Facility Modifier None Typical Low $1.66 Median $2.82 Typical High $9.55 | Facility | None | $1.66 | $2.82 | $9.55 |
BCBS Illinois Setting Professional Modifier None Typical Low $0.51 Median $0.83 Typical High $0.83 | Professional | None | $0.51 | $0.83 | $0.83 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Hally Health Setting Professional Modifier None Typical Low $0.93 Median $1.26 Typical High $2.82 | Professional | None | $0.93 | $1.26 | $2.82 |
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 $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Molina Setting Professional Modifier None Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | None | $0.51 | $0.51 | $0.51 |
United Setting Professional Modifier None Typical Low $0.46 Median $0.55 Typical High $1.32 | Professional | None | $0.46 | $0.55 | $1.32 |
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· 32nd of 51
$0.62
HI $1.17UT $0.46
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.