How much rates vary
Facilitymedian $18 · 10th to 90th $9 to $93Professionalmedian $5 · 10th to 90th $3 to $10
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 $3.80 Median $4.57 Typical High $8.32 | Facility | None | $3.80 | $4.57 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $7.59 | Professional | None | $3.80 | $4.57 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $2.29 Typical High $3.47 | Professional | 52 · Reduced service | $1.91 | $2.29 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.91 Typical High $1.38 | Professional | 53 · Discontinued | $0.76 | $0.91 | $1.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.82 Median $3.39 Typical High $5.25 | Professional | 54 · Surgery only | $2.82 | $3.39 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.68 Typical High $1.05 | Professional | 55 · Aftercare only | $0.56 | $0.68 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.45 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.38 | $0.45 | $0.69 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.23 Median $22.39 Typical High $93.33 | Facility | None | $10.23 | $22.39 | $93.33 |
BCBS Illinois Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $8.51 | Professional | None | $6.61 | $8.32 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Hally Health Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $34.67 | Professional | None | $6.92 | $9.33 | $34.67 |
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 $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $9.77 | Professional | None | $3.47 | $4.07 | $9.77 |
Where Illinois sits
The same service costs 3.2 times more in Rhode Island 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
$4.57
RI $10.72NY $3.31
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.