How much rates vary
Facilitymedian $18 · 10th to 90th $9 to $95Professionalmedian $7 · 10th to 90th $4 to $9
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 $3.89 Median $4.68 Typical High $8.51 | Facility | None | $3.89 | $4.68 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $7.94 | Professional | None | $4.68 | $4.68 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $2.34 Typical High $3.63 | Professional | 52 · Reduced service | $1.95 | $2.34 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.95 Typical High $1.45 | Professional | 53 · Discontinued | $0.78 | $0.95 | $1.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.95 Median $3.55 Typical High $5.37 | Professional | 54 · Surgery only | $2.95 | $3.55 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.71 Typical High $1.07 | Professional | 55 · Aftercare only | $0.59 | $0.71 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.47 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.39 | $0.47 | $0.72 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $19.05 | Professional | None | $4.27 | $4.27 | $19.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $10.23 Median $22.91 Typical High $95.50 | Facility | None | $10.23 | $22.91 | $95.50 |
BCBS Illinois Setting Professional Modifier None Typical Low $6.92 Median $8.51 Typical High $8.51 | Professional | None | $6.92 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Hally Health Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $38.02 | Professional | None | $7.08 | $9.77 | $38.02 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.17 Typical High $10.23 | Professional | None | $3.55 | $4.17 | $10.23 |
Where Illinois sits
The same service costs 4.1 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
$6.92
RI $13.80NY $3.39
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.