How much rates vary
Facilitymedian $407 · 10th to 90th $204 to $776Professionalmedian $204 · 10th to 90th $200 to $229
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 $181.97 Median $204.17 Typical High $758.58 | Facility | None | $181.97 | $204.17 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $20.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $1,621.81 | Facility | None | $501.19 | $707.95 | $1,621.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $251.19 | Professional | None | $223.87 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $512.86 | Facility | None | $275.42 | $407.38 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $489.78 | Professional | None | $190.55 | $229.09 | $489.78 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $295.12 | Professional | None | $199.53 | $251.19 | $295.12 |
United Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $229.09 | Professional | None | $199.53 | $218.78 | $229.09 |
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· 30th of 51
$204
AK $251NJ $204
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.