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 $107.15 Median $107.15 Typical High $213.80 | Facility | None | $107.15 | $107.15 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $158.49 | Professional | None | $107.15 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $79.43 | Professional | 52 · Reduced service | $53.70 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $31.62 | Professional | 53 · Discontinued | $21.38 | $21.38 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $23.99 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $15.85 |
BCBS Illinois Setting Facility Modifier None Typical Low $257.04 Median $354.81 Typical High $1,445.44 | Facility | None | $257.04 | $354.81 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | None | $107.15 | $107.15 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $302.00 | Professional | None | $165.96 | $218.78 | $302.00 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | None | $158.49 | $158.49 | $173.78 |
United Setting Facility Modifier None Typical Low $102.33 Median $309.03 Typical High $309.03 | Facility | None | $102.33 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $245.47 | Professional | None | $85.11 | $104.71 | $245.47 |
Where Illinois sits
The same service costs 5.4 times more in Kansas than in West Virginia. 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· 39th of 51
$112
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.