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 $128.82 Median $128.82 Typical High $263.03 | Facility | None | $128.82 | $128.82 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $208.93 | Professional | None | $128.82 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | 52 · Reduced service | $64.57 | $64.57 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $42.66 | Professional | 53 · Discontinued | $25.70 | $25.70 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $31.62 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $20.89 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $20.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $1,778.28 | Facility | None | $316.23 | $436.52 | $1,778.28 |
BCBS Illinois Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | None | $199.53 | $199.53 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $346.74 | Professional | None | $218.78 | $263.03 | $346.74 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | None | $194.98 | $194.98 | $218.78 |
United Setting Facility Modifier None Typical Low $85.11 Median $263.03 Typical High $338.84 | Facility | None | $85.11 | $263.03 | $338.84 |
United Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $302.00 | Professional | None | $104.71 | $128.82 | $302.00 |
Where Illinois sits
The same service costs 2.0 times more in Wisconsin 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· 16th of 51
$174
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.