How much rates vary
Facilitymedian $51 · 10th to 90th $26 to $263Professionalmedian $13 · 10th to 90th $10 to $28
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 $10.96 Median $13.18 Typical High $23.99 | Facility | None | $10.96 | $13.18 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $20.42 | Professional | None | $10.96 | $13.18 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $6.61 Typical High $10.00 | Professional | 52 · Reduced service | $5.50 | $6.61 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.63 Typical High $4.07 | Professional | 53 · Discontinued | $2.19 | $2.63 | $4.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.32 Median $10.00 Typical High $15.14 | Professional | 54 · Surgery only | $8.32 | $10.00 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $2.00 Typical High $3.02 | Professional | 55 · Aftercare only | $1.66 | $2.00 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.32 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.10 | $1.32 | $2.04 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.84 Median $64.57 Typical High $269.15 | Facility | None | $28.84 | $64.57 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Hally Health Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $60.26 | Professional | None | $19.95 | $26.30 | $60.26 |
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 $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $28.84 | Professional | None | $10.00 | $11.75 | $28.84 |
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
$13.18
RI $30.20NY $9.55
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.