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 $199.53 Median $199.53 Typical High $416.87 | Facility | None | $199.53 | $199.53 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $331.13 | Professional | None | $199.53 | $199.53 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | 52 · Reduced service | $100.00 | $100.00 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $66.07 | Professional | 53 · Discontinued | $39.81 | $39.81 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $50.12 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $33.11 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $33.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $676.08 Typical High $2,818.38 | Facility | None | $501.19 | $676.08 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $501.19 | Professional | None | $323.59 | $407.38 | $501.19 |
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 $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None | $309.03 | $309.03 | $338.84 |
United Setting Facility Modifier None Typical Low $169.82 Median $416.87 Typical High $549.54 | Facility | None | $169.82 | $416.87 | $549.54 |
United Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $478.63 | Professional | None | $158.49 | $204.17 | $478.63 |
Where Illinois sits
The same service costs 2.3 times more in Wisconsin than in Colorado. 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· 27th of 51
$234
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.