How much rates vary
Facilitymedian $5,623 · 10th to 90th $5,495 to $102,329Professionalmedian $6,918 · 10th to 90th $4,786 to $10,965
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 $5,128.61 Median $5,128.61 Typical High $10,471.29 | Facility | None | $5,128.61 | $5,128.61 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $8,511.38 | Professional | None | $5,128.61 | $5,128.61 | $8,511.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,570.40 Median $2,570.40 Typical High $4,265.80 | Professional | 52 · Reduced service | $2,570.40 | $2,570.40 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,023.29 Typical High $1,698.24 | Professional | 53 · Discontinued | $1,023.29 | $1,023.29 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $776.25 Typical High $1,258.93 | Professional | 55 · Aftercare only | $776.25 | $776.25 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $512.86 Median $512.86 Typical High $851.14 | Professional | 56 · Pre-op care only | $512.86 | $512.86 | $851.14 |
BCBS Illinois Setting Facility Modifier None Typical Low $28,183.83 Median $60,255.96 Typical High $120,226.44 | Facility | None | $28,183.83 | $60,255.96 | $120,226.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $7,244.36 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,244.36 | $7,943.28 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,623.41 | Professional | None | $4,786.30 | $4,786.30 | $5,623.41 |
Hally Health Setting Professional Modifier None Typical Low $8,317.64 Median $10,232.93 Typical High $12,882.50 | Professional | None | $8,317.64 | $10,232.93 | $12,882.50 |
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 $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | None | $13,489.63 | $13,489.63 | $13,489.63 |
United Setting Professional Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $12,022.64 | Professional | None | $4,570.88 | $5,128.61 | $12,022.64 |
Where Illinois sits
The same service costs 2.6 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· 18th of 51
$6,918
MT $10,715NY $4,169
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.