How much rates vary
Facilitymedian $123 · 10th to 90th $60 to $339Professionalmedian $60 · 10th to 90th $56 to $76
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 $51.29 Median $60.26 Typical High $208.93 | Facility | None | $51.29 | $60.26 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $93.33 | Professional | None | $60.26 | $60.26 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $549.54 | Facility | None | $123.03 | $194.98 | $549.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | None | $56.23 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $151.36 | Facility | None | $85.11 | $120.23 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | None | $60.26 | $60.26 | $63.10 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $117.49 | Professional | None | $51.29 | $70.79 | $117.49 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $85.11 | Professional | None | $56.23 | $70.79 | $85.11 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $134.90 | Facility | None | $60.26 | $60.26 | $134.90 |
United Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $67.61 | Professional | None | $56.23 | $61.66 | $67.61 |
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· 14th of 51
$60.26
AK $74.13OK $58.88
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.