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 $194.98 Median $194.98 Typical High $389.05 | Facility | None | $194.98 | $194.98 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $302.00 | Professional | None | $194.98 | $194.98 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | 52 · Reduced service | $97.72 | $97.72 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | 53 · Discontinued | $38.90 | $38.90 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $44.67 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $30.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $2,630.27 | Facility | None | $467.74 | $645.65 | $2,630.27 |
BCBS Illinois Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | None | $263.03 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None | $173.78 | $173.78 | $234.42 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $588.84 | Professional | None | $302.00 | $416.87 | $588.84 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | None | $288.40 | $288.40 | $316.23 |
United Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $616.60 | Facility | None | $251.19 | $389.05 | $616.60 |
United Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $457.09 | Professional | None | $169.82 | $190.55 | $457.09 |
Where Illinois sits
The same service costs 5.5 times more in Hawaii than in Florida. 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
$263
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.