How much rates vary
Facilitymedian $117 · 10th to 90th $59 to $245Professionalmedian $59 · 10th to 90th $59 to $71
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 $56.23 Median $83.18 Typical High $223.87 | Facility | None | $56.23 | $83.18 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | None | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | 52 · Reduced service | $28.84 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $5.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $537.03 | Facility | None | $181.97 | $245.47 | $537.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | None | $79.43 | $79.43 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $117.49 Typical High $151.36 | Facility | None | $81.28 | $117.49 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | None | $58.88 | $58.88 | $60.26 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $234.42 | Professional | None | $61.66 | $91.20 | $234.42 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $87.10 | Professional | None | $60.26 | $74.13 | $87.10 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $131.83 | Facility | None | $58.88 | $58.88 | $131.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | None | $60.26 | $66.07 | $70.79 |
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· 42nd of 51
$58.88
AK $79.43GA $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.