How much rates vary
Facilitymedian $575,440 · 10th to 90th $575,440 to $2,089,296Professionalmedian $575,440 · 10th to 90th $575,440 to $602,560
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 $575,439.94 Median $812,830.52 Typical High $2,089,296.13 | Facility | None | $575,439.94 | $812,830.52 | $2,089,296.13 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $588,843.66 | Professional | None | $575,439.94 | $575,439.94 | $588,843.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $295,120.92 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $117,489.76 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $117,489.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $58,884.37 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $58,884.37 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $602,559.59 | Professional | None | $549,540.87 | $549,540.87 | $602,559.59 |
Hally Health Setting Professional Modifier None Typical Low $467,735.14 Median $562,341.33 Typical High $812,830.52 | Professional | None | $467,735.14 | $562,341.33 | $812,830.52 |
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 $724,435.96 Median $724,435.96 Typical High $724,435.96 | Professional | None | $724,435.96 | $724,435.96 | $724,435.96 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $707,945.78 Typical High $831,763.77 | Professional | None | $5,011.87 | $707,945.78 | $831,763.77 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $1,318,256.74 | Facility | None | $575,439.94 | $575,439.94 | $1,318,256.74 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $676,082.98 | Professional | None | $562,341.33 | $575,439.94 | $676,082.98 |
Where Illinois sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 25th of 51
$575,440
TX $977,237MN $562,341
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.