How much rates vary
Facilitymedian $72 · 10th to 90th $37 to $380Professionalmedian $19 · 10th to 90th $14 to $40
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 $15.85 Median $19.05 Typical High $34.67 | Facility | None | $15.85 | $19.05 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $28.84 | Professional | None | $15.85 | $19.05 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $9.55 Typical High $14.45 | Professional | 52 · Reduced service | $7.94 | $9.55 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.80 Typical High $5.75 | Professional | 53 · Discontinued | $3.16 | $3.80 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.75 Median $14.13 Typical High $21.88 | Professional | 54 · Surgery only | $11.75 | $14.13 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $2.82 Typical High $4.37 | Professional | 55 · Aftercare only | $2.34 | $2.82 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.91 Typical High $2.88 | Professional | 56 · Pre-op care only | $1.58 | $1.91 | $2.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $40.74 Median $91.20 Typical High $389.05 | Facility | None | $40.74 | $91.20 | $389.05 |
BCBS Illinois Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $48.98 | Professional | None | $27.54 | $34.67 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Hally Health Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $93.33 | Professional | None | $28.84 | $38.90 | $93.33 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $40.74 | Professional | None | $14.13 | $16.98 | $40.74 |
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
$19.05
HI $37.15NY $13.49
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.