How much rates vary
Facilitymedian $54 · 10th to 90th $28 to $282Professionalmedian $15 · 10th to 90th $10 to $28
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 $11.75 Median $14.13 Typical High $25.70 | Facility | None | $11.75 | $14.13 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $21.38 | Professional | None | $11.75 | $14.13 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $7.08 Typical High $10.72 | Professional | 52 · Reduced service | $5.89 | $7.08 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.82 Typical High $4.27 | Professional | 53 · Discontinued | $2.34 | $2.82 | $4.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.71 Median $10.47 Typical High $16.22 | Professional | 54 · Surgery only | $8.71 | $10.47 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $2.09 Typical High $3.24 | Professional | 55 · Aftercare only | $1.74 | $2.09 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.41 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.17 | $1.41 | $2.14 |
BCBS Illinois Setting Facility Modifier None Typical Low $30.90 Median $69.18 Typical High $288.40 | Facility | None | $30.90 | $69.18 | $288.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | None | $20.42 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $63.10 | Professional | None | $21.38 | $28.84 | $63.10 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $30.20 | Professional | None | $10.47 | $12.59 | $30.20 |
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· 27th of 51
$15.49
HI $27.54NY $10.00
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.