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 $0.20 Median $0.30 Typical High $0.76 | Facility | None | $0.20 | $0.30 | $0.76 |
Aetna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.24 | Professional | None | $0.20 | $0.20 | $0.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.10 Typical High $0.12 | Professional | 52 · Reduced service | $0.10 | $0.10 | $0.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.04 |
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 $1.26 Median $1.91 Typical High $9.12 | Facility | None | $1.26 | $1.91 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $0.27 Median $0.40 Typical High $0.48 | Facility | None | $0.27 | $0.40 | $0.48 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.28 | Professional | None | $0.20 | $0.20 | $0.28 |
Hally Health Setting Professional Modifier None Typical Low $0.16 Median $0.19 Typical High $0.27 | Professional | None | $0.16 | $0.19 | $0.27 |
Hally Health Setting Professional Modifier None Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | None | $0.25 | $0.25 | $0.25 |
Molina Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | None | $0.16 | $0.16 | $0.16 |
United Setting Professional Modifier None Typical Low $0.17 Median $0.20 Typical High $0.30 | Professional | None | $0.17 | $0.20 | $0.30 |
Where Illinois sits
The same service costs 1.6 times more in Wyoming than in Rhode Island. 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· 50th of 51
$0.20
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.