How much rates vary
Facilitymedian $95 · 10th to 90th $50 to $490Professionalmedian $25 · 10th to 90th $18 to $51
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 $20.42 Median $24.55 Typical High $44.67 | Facility | None | $20.42 | $24.55 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $38.02 | Professional | None | $20.42 | $24.55 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.30 Typical High $18.62 | Professional | 52 · Reduced service | $10.23 | $12.30 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.90 Typical High $7.59 | Professional | 53 · Discontinued | $4.07 | $4.90 | $7.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $18.62 Typical High $28.18 | Professional | 54 · Surgery only | $15.49 | $18.62 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.72 Typical High $5.62 | Professional | 55 · Aftercare only | $3.09 | $3.72 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.45 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.04 | $2.45 | $3.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $54.95 Median $120.23 Typical High $501.19 | Facility | None | $54.95 | $120.23 | $501.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $44.67 | Professional | None | $35.48 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $107.15 | Professional | None | $35.48 | $47.86 | $107.15 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $53.70 | Professional | None | $18.62 | $21.88 | $53.70 |
Where Illinois sits
The same service costs 2.7 times more in Hawaii 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· 36th of 51
$24.55
HI $47.86NY $17.78
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.