How much rates vary
Facilitymedian $39 · 10th to 90th $20 to $200Professionalmedian $10 · 10th to 90th $8 to $21
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 $8.32 Median $10.00 Typical High $18.20 | Facility | None | $8.32 | $10.00 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $16.98 | Professional | None | $8.32 | $10.00 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $5.01 Typical High $7.76 | Professional | 52 · Reduced service | $4.17 | $5.01 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.04 Typical High $3.09 | Professional | 53 · Discontinued | $1.70 | $2.04 | $3.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.31 Median $7.59 Typical High $11.48 | Professional | 54 · Surgery only | $6.31 | $7.59 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.51 Typical High $2.29 | Professional | 55 · Aftercare only | $1.26 | $1.51 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $1.00 Typical High $1.55 | Professional | 56 · Pre-op care only | $0.83 | $1.00 | $1.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.39 Median $48.98 Typical High $208.93 | Facility | None | $22.39 | $48.98 | $208.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $18.20 | Professional | None | $14.79 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Hally Health Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $77.62 | Professional | None | $15.49 | $20.89 | $77.62 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $21.88 | Professional | None | $7.59 | $8.91 | $21.88 |
Where Illinois sits
The same service costs 2.7 times more in Idaho 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· 35th of 51
$10.00
ID $19.50NY $7.24
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.