How much rates vary
Facilitymedian $40 · 10th to 90th $39 to $55Professionalmedian $40 · 10th to 90th $28 to $48
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $38.90 Median $39.81 Typical High $44.67 | Facility | None | $38.90 | $39.81 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $42.66 | Professional | None | $35.48 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $19.95 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $7.94 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.03 Typical High $6.31 | Professional | 55 · Aftercare only | $5.37 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.98 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.55 | $3.98 | $4.17 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | None | $39.81 | $39.81 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $44.67 | Professional | None | $7.59 | $7.59 | $44.67 |
Hally Health Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $50.12 | Professional | None | $37.15 | $42.66 | $50.12 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Where Illinois sits
The same service costs 204.2 times more in Montana than in Kansas. 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· 14th of 51
$39.81
MT $79.43KS $0.39
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.