How much rates vary
Facilitymedian $9 · 10th to 90th $5 to $49Professionalmedian $3 · 10th to 90th $2 to $4
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 $1.95 Median $2.40 Typical High $4.27 | Facility | None | $1.95 | $2.40 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $2.40 Typical High $3.63 | Professional | None | $1.95 | $2.40 | $3.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.00 Median $1.20 Typical High $1.82 | Professional | 52 · Reduced service | $1.00 | $1.20 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.48 Typical High $0.72 | Professional | 53 · Discontinued | $0.39 | $0.48 | $0.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.48 Median $1.78 Typical High $2.69 | Professional | 54 · Surgery only | $1.48 | $1.78 | $2.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.36 Typical High $0.54 | Professional | 55 · Aftercare only | $0.30 | $0.36 | $0.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.24 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.20 | $0.24 | $0.36 |
BCBS Setting Facility Modifier None Typical Low $5.13 Median $11.48 Typical High $48.98 | Facility | None | $5.13 | $11.48 | $48.98 |
BCBS Setting Professional Modifier None Typical Low $3.47 Median $4.27 Typical High $4.27 | Professional | None | $3.47 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Hally Health Setting Professional Modifier None Typical Low $3.63 Median $4.90 Typical High $20.89 | Professional | None | $3.63 | $4.90 | $20.89 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.09 Typical High $5.13 | Professional | None | $1.78 | $2.09 | $5.13 |
Where Illinois sits
The same service costs 4.0 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· 18th of 51
$3.47
RI $6.76NY $1.70
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.