How much rates vary
Facilitymedian $417 · 10th to 90th $263 to $5,248Professionalmedian $339 · 10th to 90th $240 to $724
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $263.03 Median $263.03 Typical High $537.03 | Facility | None | $263.03 | $263.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $426.58 | Professional | None | $263.03 | $263.03 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $213.80 | Professional | 52 · Reduced service | $128.82 | $128.82 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $85.11 | Professional | 53 · Discontinued | $52.48 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $64.57 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $42.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,445.44 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,445.44 | $3,090.30 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None | $354.81 | $354.81 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $870.96 | Professional | None | $436.52 | $616.60 | $870.96 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $616.60 | Professional | None | $234.42 | $263.03 | $616.60 |
Where Illinois sits
The same service costs 2.5 times more in Montana than in New York. 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· 30th of 51
$355
MT $550NY $219
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.