How much rates vary
Facilitymedian $363 · 10th to 90th $174 to $955Professionalmedian $174 · 10th to 90th $162 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 $151.36 Median $229.09 Typical High $616.60 | Facility | None | $151.36 | $229.09 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | None | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 54 · Surgery only | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $1,445.44 | Facility | None | $269.15 | $588.84 | $1,445.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $199.53 | Professional | None | $173.78 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $436.52 | Facility | None | $239.88 | $346.74 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | None | $173.78 | $173.78 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $281.84 | Professional | None | $151.36 | $190.55 | $281.84 |
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 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $239.88 | Professional | None | $162.18 | $204.17 | $239.88 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $389.05 | Facility | None | $173.78 | $173.78 | $389.05 |
United Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $186.21 | Professional | None | $162.18 | $177.83 | $186.21 |
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· 13th of 51
$174
AK $214AZ $166
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.