How much rates vary
Facilitymedian $11 · 10th to 90th $6 to $65Professionalmedian $5 · 10th to 90th $3 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 $2.63 Median $3.24 Typical High $5.75 | Facility | None | $2.63 | $3.24 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.24 Typical High $5.37 | Professional | None | $2.75 | $3.24 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.58 Typical High $2.45 | Professional | 52 · Reduced service | $1.32 | $1.58 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.65 Typical High $0.98 | Professional | 53 · Discontinued | $0.52 | $0.65 | $0.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.00 Median $2.40 Typical High $3.63 | Professional | 54 · Surgery only | $2.00 | $2.40 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.48 Typical High $0.72 | Professional | 55 · Aftercare only | $0.40 | $0.48 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.32 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.27 | $0.32 | $0.49 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $6.76 Median $15.49 Typical High $64.57 | Facility | None | $6.76 | $15.49 | $64.57 |
BCBS Illinois Setting Professional Modifier None Typical Low $4.68 Median $5.75 Typical High $5.75 | Professional | None | $4.68 | $5.75 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Hally Health Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $26.92 | Professional | None | $4.79 | $6.61 | $26.92 |
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 $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.82 Typical High $6.92 | Professional | None | $2.40 | $2.82 | $6.92 |
Where Illinois sits
The same service costs 3.0 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· 16th of 51
$4.68
RI $6.76NY $2.29
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.