How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $15Professionalmedian $1 · 10th to 90th $1 to $2
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 $0.81 Median $1.00 Typical High $1.78 | Facility | None | $0.81 | $1.00 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $1.00 Typical High $1.66 | Professional | None | $0.81 | $1.00 | $1.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.50 Typical High $0.76 | Professional | 52 · Reduced service | $0.41 | $0.50 | $0.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.20 Typical High $0.30 | Professional | 53 · Discontinued | $0.16 | $0.20 | $0.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.15 Typical High $0.21 | Professional | 55 · Aftercare only | $0.12 | $0.15 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.10 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.08 | $0.10 | $0.14 |
Ambetter Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
BCBS Illinois Setting Facility Modifier None Typical Low $1.66 Median $3.72 Typical High $15.49 | Facility | None | $1.66 | $3.72 | $15.49 |
BCBS Illinois Setting Professional Modifier None Typical Low $0.85 Median $1.35 Typical High $1.35 | Professional | None | $0.85 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Hally Health Setting Professional Modifier None Typical Low $1.48 Median $2.19 Typical High $29.51 | Professional | None | $1.48 | $2.19 | $29.51 |
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 $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Molina Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
United Setting Professional Modifier None Typical Low $0.76 Median $0.87 Typical High $2.14 | Professional | None | $0.76 | $0.87 | $2.14 |
Where Illinois sits
The same service costs 2.5 times more in Idaho 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
$1.00
ID $1.86CO $0.76
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.