How much rates vary
Facilitymedian $269 · 10th to 90th $166 to $631Professionalmedian $158 · 10th to 90th $155 to $186
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 $154.88 Median $309.03 Typical High $575.44 | Facility | None | $154.88 | $309.03 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $912.01 | Facility | None | $199.53 | $269.15 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $389.05 | Facility | None | $218.78 | $323.59 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $213.80 | Professional | None | $138.04 | $186.21 | $213.80 |
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 $158.49 Median $158.49 Typical High $162.18 | Professional | None | $158.49 | $158.49 | $162.18 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $380.19 | Facility | None | $165.96 | $165.96 | $380.19 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None | $158.49 | $158.49 | $169.82 |
Where Illinois sits
The same service costs 1.7 times more in Arizona than in Mississippi. 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· 33rd of 51
$162
AZ $269MS $158
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.