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 $79.43 Median $79.43 Typical High $162.18 | Facility | None | $79.43 | $79.43 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $128.82 | Professional | None | $79.43 | $79.43 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | 52 · Reduced service | $39.81 | $39.81 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $26.30 | Professional | 53 · Discontinued | $15.85 | $15.85 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $19.50 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $12.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $1,318.26 | Facility | None | $194.98 | $275.42 | $1,318.26 |
BCBS Illinois Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $251.19 | Professional | None | $134.90 | $190.55 | $251.19 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | None | $120.23 | $120.23 | $134.90 |
United Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $263.03 | Facility | None | $102.33 | $162.18 | $263.03 |
United Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $194.98 | Professional | None | $72.44 | $87.10 | $194.98 |
Where Illinois sits
The same service costs 4.1 times more in Hawaii than in Delaware. 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· 32nd of 51
$100
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.