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 $151.36 Median $151.36 Typical High $302.00 | Facility | None | $151.36 | $151.36 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | None | $151.36 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $109.65 | Professional | 52 · Reduced service | $75.86 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $43.65 | Professional | 53 · Discontinued | $30.20 | $30.20 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $21.88 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $21.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $2,041.74 | Facility | None | $363.08 | $501.19 | $2,041.74 |
BCBS Illinois Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $229.09 | Professional | None | $186.21 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $389.05 | Professional | None | $239.88 | $295.12 | $389.05 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | None | $223.87 | $223.87 | $251.19 |
United Setting Facility Modifier None Typical Low $147.91 Median $302.00 Typical High $426.58 | Facility | None | $147.91 | $302.00 | $426.58 |
United Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $346.74 | Professional | None | $117.49 | $147.91 | $346.74 |
Where Illinois sits
The same service costs 2.3 times more in Hawaii than in New Jersey. 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· 20th of 51
$191
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.