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 $0.17 Median $0.28 Typical High $0.63 | Facility | None | $0.17 | $0.28 | $0.63 |
Aetna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.18 | Professional | None | $0.17 | $0.17 | $0.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 52 · Reduced service | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $1.23 Median $2.69 Typical High $8.71 | Facility | None | $1.23 | $2.69 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $0.24 Median $0.36 Typical High $0.43 | Facility | None | $0.24 | $0.36 | $0.43 |
Cigna Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | None | $0.18 | $0.18 | $0.18 |
Hally Health Setting Professional Modifier None Typical Low $0.50 Median $0.68 Typical High $0.76 | Professional | None | $0.50 | $0.68 | $0.76 |
Molina Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.19 | Professional | None | $0.18 | $0.18 | $0.19 |
Where Illinois sits
The same service costs 8.1 times more in Oklahoma than in Hawaii. 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
$0.18
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.