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 $38.02 Median $38.90 Typical High $41.69 | Facility | None | $38.02 | $38.90 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | None | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $16.98 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.76 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $5.13 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.39 | $4.17 | $4.17 |
BCBS Illinois Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $660.69 | Facility | None | $52.48 | $93.33 | $660.69 |
BCBS Illinois Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $63.10 | Professional | None | $43.65 | $51.29 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Hally Health Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $70.79 | Professional | None | $33.11 | $41.69 | $70.79 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $60.26 | Professional | None | $30.20 | $38.02 | $60.26 |
Where Illinois sits
The same service costs 12.9 times more in Hawaii than in Kentucky. 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· 22nd of 51
$41.69
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.