How much rates vary
Facilitymedian $100 · 10th to 90th $52 to $525Professionalmedian $26 · 10th to 90th $19 to $55
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 $21.88 Median $26.30 Typical High $47.86 | Facility | None | $21.88 | $26.30 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $44.67 | Professional | None | $22.91 | $26.30 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.18 Typical High $20.42 | Professional | 52 · Reduced service | $10.96 | $13.18 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.25 Typical High $8.13 | Professional | 53 · Discontinued | $4.37 | $5.25 | $8.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $19.95 Typical High $30.20 | Professional | 54 · Surgery only | $16.60 | $19.95 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.98 Typical High $6.03 | Professional | 55 · Aftercare only | $3.31 | $3.98 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.63 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.19 | $2.63 | $4.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $57.54 Median $128.82 Typical High $537.03 | Facility | None | $57.54 | $128.82 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Hally Health Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $114.82 | Professional | None | $38.02 | $51.29 | $114.82 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $57.54 | Professional | None | $19.95 | $23.44 | $57.54 |
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· 37th of 51
$26.30
RI $60.26NY $19.05
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.