How much rates vary
Facilitymedian $11 · 10th to 90th $6 to $62Professionalmedian $4 · 10th to 90th $2 to $6
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 $2.51 Median $3.02 Typical High $5.50 | Facility | None | $2.51 | $3.02 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.02 Typical High $4.79 | Professional | None | $2.63 | $3.02 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.26 Median $1.51 Typical High $2.29 | Professional | 52 · Reduced service | $1.26 | $1.51 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.62 Typical High $0.91 | Professional | 53 · Discontinued | $0.50 | $0.62 | $0.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.86 Median $2.29 Typical High $3.47 | Professional | 54 · Surgery only | $1.86 | $2.29 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.45 Typical High $0.69 | Professional | 55 · Aftercare only | $0.38 | $0.45 | $0.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.30 Typical High $0.46 | Professional | 56 · Pre-op care only | $0.25 | $0.30 | $0.46 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.76 Median $14.13 Typical High $61.66 | Facility | None | $6.76 | $14.13 | $61.66 |
BCBS Illinois Setting Professional Modifier None Typical Low $4.37 Median $5.50 Typical High $5.50 | Professional | None | $4.37 | $5.50 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Hally Health Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $27.54 | Professional | None | $4.57 | $6.17 | $27.54 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.69 Typical High $6.46 | Professional | None | $2.29 | $2.69 | $6.46 |
Where Illinois sits
The same service costs 3.8 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· 17th of 51
$4.37
RI $8.32NY $2.19
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.