How much rates vary
Facilitymedian $100 · 10th to 90th $52 to $525Professionalmedian $39 · 10th to 90th $20 to $49
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 $22.39 Median $26.92 Typical High $48.98 | Facility | None | $22.39 | $26.92 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $44.67 | Professional | None | $17.38 | $26.92 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.49 Typical High $20.42 | Professional | 52 · Reduced service | $10.96 | $13.49 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.37 Typical High $8.13 | Professional | 53 · Discontinued | $4.47 | $5.37 | $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 $6.17 | Professional | 55 · Aftercare only | $3.31 | $3.98 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.69 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.24 | $2.69 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $57.54 Median $128.82 Typical High $549.54 | Facility | None | $57.54 | $128.82 | $549.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | None | $38.90 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Hally Health Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $114.82 | Professional | None | $40.74 | $53.70 | $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 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· 15th of 51
$38.90
HI $51.29NY $18.62
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.