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 $38.90 Median $46.77 Typical High $85.11 | Facility | None | $38.90 | $46.77 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $79.43 | Professional | None | $38.90 | $46.77 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $23.44 Typical High $35.48 | Professional | 52 · Reduced service | $19.50 | $23.44 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.33 Typical High $14.45 | Professional | 53 · Discontinued | $7.76 | $9.33 | $14.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $35.48 Typical High $53.70 | Professional | 54 · Surgery only | $29.51 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.08 Typical High $10.72 | Professional | 55 · Aftercare only | $5.89 | $7.08 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.68 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.89 | $4.68 | $7.24 |
BCBS Illinois Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $954.99 | Facility | None | $102.33 | $229.09 | $954.99 |
BCBS Illinois Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | None | $67.61 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $151.36 | Professional | None | $70.79 | $93.33 | $151.36 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $102.33 | Professional | None | $35.48 | $41.69 | $102.33 |
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· 22nd of 51
$58.88
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.