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 $208.93 Median $208.93 Typical High $426.58 | Facility | None | $208.93 | $208.93 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $346.74 | Professional | None | $208.93 | $208.93 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $173.78 | Professional | 52 · Reduced service | $104.71 | $104.71 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | 53 · Discontinued | $41.69 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $51.29 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $575.44 | Professional | None | $323.59 | $575.44 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $3,801.89 | Facility | None | $512.86 | $724.44 | $3,801.89 |
BCBS Illinois Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $302.00 | Facility | None | $295.12 | $295.12 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | None | $213.80 | $213.80 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $501.19 | Professional | None | $338.84 | $426.58 | $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 $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $354.81 | Professional | None | $245.47 | $245.47 | $354.81 |
United Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $616.60 | Facility | None | $186.21 | $251.19 | $616.60 |
United Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $489.78 | Professional | None | $190.55 | $208.93 | $489.78 |
Where Illinois sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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· 11th of 51
$355
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.