How much rates vary
Facilitymedian $56 · 10th to 90th $36 to $151Professionalmedian $40 · 10th to 90th $26 to $74
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 $39.81 Median $79.43 Typical High $147.91 | Facility | None | $39.81 | $79.43 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None | $39.81 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 52 · Reduced service | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.98 | $3.98 | $4.17 |
BCBS Illinois Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $239.88 | Facility | None | $51.29 | $77.62 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $51.29 Typical High $61.66 | Facility | None | $34.67 | $51.29 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Hally Health Setting Professional Modifier None Typical Low $22.39 Median $38.02 Typical High $151.36 | Professional | None | $22.39 | $38.02 | $151.36 |
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 |
United Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $81.28 | Professional | None | $60.26 | $70.79 | $81.28 |
Where Illinois sits
The same service costs 3.1 times more in Wisconsin than in New York. 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· 28th of 51
$40.74
WI $70.79NY $22.91
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.