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 $8.13 Median $11.48 Typical High $21.88 | Facility | None | $8.13 | $11.48 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $0.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.92 Median $26.30 Typical High $46.77 | Facility | None | $6.92 | $26.30 | $46.77 |
BCBS Illinois Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $11.22 | Professional | None | $10.00 | $10.00 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $19.50 | Facility | None | $10.96 | $16.22 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | None | $8.13 | $8.13 | $8.51 |
Hally Health Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $42.66 | Professional | None | $6.03 | $9.12 | $42.66 |
Hally Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Molina Setting Professional Modifier None Typical Low $1.51 Median $7.24 Typical High $7.59 | Professional | None | $1.51 | $7.24 | $7.59 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.13 | Professional | None | $7.24 | $7.24 | $8.13 |
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· 15th of 51
$8.13
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.