How much rates vary
Facilitymedian $1,202,264 · 10th to 90th $562,341 to $3,467,369Professionalmedian $562,341 · 10th to 90th $30 to $575,440
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 $562,341.33 Median $776,247.12 Typical High $1,995,262.31 | Facility | None | $562,341.33 | $776,247.12 | $1,995,262.31 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $281,838.29 | Professional | 52 · Reduced service | $281,838.29 | $281,838.29 | $281,838.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $112,201.85 Typical High $114,815.36 | Professional | 53 · Discontinued | $112,201.85 | $112,201.85 | $114,815.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $85,113.80 | Professional | 55 · Aftercare only | $85,113.80 | $85,113.80 | $85,113.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $56,234.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $630,957.34 Median $1,905,460.72 Typical High $4,466,835.92 | Facility | None | $630,957.34 | $1,905,460.72 | $4,466,835.92 |
Cigna Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $588,843.66 | Professional | None | $537,031.80 | $537,031.80 | $588,843.66 |
Hally Health Setting Professional Modifier None Typical Low $436,515.83 Median $537,031.80 Typical High $776,247.12 | Professional | None | $436,515.83 | $537,031.80 | $776,247.12 |
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 $691,830.97 Median $691,830.97 Typical High $691,830.97 | Professional | None | $691,830.97 | $691,830.97 | $691,830.97 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $1,258,925.41 | Facility | None | $562,341.33 | $562,341.33 | $1,258,925.41 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $549,540.87 Typical High $645,654.23 | Professional | None | $537,031.80 | $549,540.87 | $645,654.23 |
Where Illinois sits
Rates are fairly even across states for this service. 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· 37th of 51
$562,341
MS $676,083NJ $537,032
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.