How much rates vary
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 $177.83 Median $1,862.09 Typical High $7,762.47 | Facility | None | $177.83 | $1,862.09 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $257.04 | Professional | None | $177.83 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | 54 · Surgery only | $131.83 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $22.39 |
BCBS Illinois Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $4,677.35 | Facility | None | $549.54 | $870.96 | $4,677.35 |
BCBS Illinois Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | None | $588.84 | $588.84 | $602.56 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $645.65 Typical High $776.25 | Professional | None | $151.36 | $645.65 | $776.25 |
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 25.7 times more in Oklahoma than in Vermont. 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· 5th of 51
$589
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.