How much rates vary
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 $69.18 Median $83.18 Typical High $151.36 | Facility | None | $69.18 | $83.18 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $125.89 | Professional | None | $69.18 | $83.18 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $41.69 Typical High $63.10 | Professional | 52 · Reduced service | $34.67 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.60 Typical High $25.12 | Professional | 53 · Discontinued | $13.80 | $16.60 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $61.66 Typical High $95.50 | Professional | 54 · Surgery only | $51.29 | $61.66 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.30 Typical High $19.05 | Professional | 55 · Aftercare only | $10.23 | $12.30 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.32 Typical High $12.59 | Professional | 56 · Pre-op care only | $6.92 | $8.32 | $12.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $181.97 Median $407.38 Typical High $1,698.24 | Facility | None | $181.97 | $407.38 | $1,698.24 |
BCBS Illinois Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | None | $120.23 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $275.42 | Professional | None | $117.49 | $158.49 | $275.42 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $177.83 | Professional | None | $63.10 | $74.13 | $177.83 |
Where Illinois sits
The same service costs 2.8 times more in Hawaii 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· 33rd of 51
$83.18
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.