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 $2,238.72 Median $2,570.40 Typical High $9,120.11 | Facility | None | $2,238.72 | $2,570.40 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
BCBS Illinois Setting Facility Modifier None Typical Low $123.03 Median $338.84 Typical High $10,964.78 | Facility | None | $123.03 | $338.84 | $10,964.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $3,162.28 | Professional | None | $2,818.38 | $3,090.30 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $5,128.61 Typical High $6,165.95 | Facility | None | $3,467.37 | $5,128.61 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,570.40 | $2,570.40 | $2,630.27 |
Hally Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,187.76 | $2,951.21 | $4,897.79 |
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 |
Hally Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,548.13 | Professional | None | $2,454.71 | $3,019.95 | $3,548.13 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $5,754.40 | Facility | None | $2,570.40 | $2,570.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $2,754.23 | Professional | None | $2,454.71 | $2,691.53 | $2,754.23 |
Where Illinois sits
Rates are fairly even across states for this service. 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· 47th of 51
$2,570
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.