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 $16.98 Median $20.42 Typical High $37.15 | Facility | None | $16.98 | $20.42 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $30.90 | Professional | None | $16.98 | $20.42 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.23 Typical High $15.49 | Professional | 52 · Reduced service | $8.51 | $10.23 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.07 Typical High $6.17 | Professional | 53 · Discontinued | $3.39 | $4.07 | $6.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.59 Median $15.14 Typical High $23.44 | Professional | 54 · Surgery only | $12.59 | $15.14 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $3.02 Typical High $4.68 | Professional | 55 · Aftercare only | $2.51 | $3.02 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.04 Typical High $3.09 | Professional | 56 · Pre-op care only | $1.70 | $2.04 | $3.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $44.67 Median $100.00 Typical High $416.87 | Facility | None | $44.67 | $100.00 | $416.87 |
BCBS Illinois Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $38.02 | Professional | None | $29.51 | $37.15 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Hally Health Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $91.20 | Professional | None | $30.90 | $41.69 | $91.20 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $43.65 | Professional | None | $15.14 | $18.20 | $43.65 |
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· 32nd of 51
$20.42
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.