How much rates vary
Facilitymedian $871 · 10th to 90th $537 to $5,129Professionalmedian $186 · 10th to 90th $148 to $490
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 $147.91 Median $1,862.09 Typical High $7,762.47 | Facility | None | $147.91 | $1,862.09 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | None | $147.91 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | 54 · Surgery only | $112.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $18.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $549.54 Median $831.76 Typical High $3,801.89 | Facility | None | $549.54 | $831.76 | $3,801.89 |
BCBS Illinois Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $549.54 Typical High $660.69 | Professional | None | $151.36 | $549.54 | $660.69 |
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 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Where Illinois sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 6th of 51
$479
NE $891WV $117
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.