How much rates vary
Facilitymedian $87 · 10th to 90th $46 to $468Professionalmedian $34 · 10th to 90th $18 to $43
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 $19.50 Median $23.44 Typical High $45.71 | Facility | None | $19.50 | $23.44 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $33.88 | Professional | None | $19.50 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $11.75 Typical High $17.78 | Professional | 52 · Reduced service | $9.77 | $11.75 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.68 Typical High $7.24 | Professional | 53 · Discontinued | $3.89 | $4.68 | $7.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.79 Median $17.78 Typical High $26.92 | Professional | 54 · Surgery only | $14.79 | $17.78 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.55 Typical High $5.37 | Professional | 55 · Aftercare only | $2.95 | $3.55 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.34 Typical High $3.63 | Professional | 56 · Pre-op care only | $1.95 | $2.34 | $3.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $478.63 | Facility | None | $51.29 | $114.82 | $478.63 |
BCBS Illinois Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | None | $33.88 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $102.33 | Professional | None | $35.48 | $47.86 | $102.33 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $51.29 | Professional | None | $17.78 | $20.89 | $51.29 |
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· 16th of 51
$33.88
HI $45.71NY $16.60
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.