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 $19.95 Median $23.99 Typical High $43.65 | Facility | None | $19.95 | $23.99 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $40.74 | Professional | None | $20.89 | $23.99 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $12.02 Typical High $18.20 | Professional | 52 · Reduced service | $10.00 | $12.02 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.79 Typical High $7.24 | Professional | 53 · Discontinued | $3.98 | $4.79 | $7.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.79 Median $17.78 Typical High $27.54 | Professional | 54 · Surgery only | $14.79 | $17.78 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.63 Typical High $5.50 | Professional | 55 · Aftercare only | $2.95 | $3.63 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.40 Typical High $3.63 | Professional | 56 · Pre-op care only | $2.00 | $2.40 | $3.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $489.78 | Facility | None | $52.48 | $117.49 | $489.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | None | $34.67 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Hally Health Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $109.65 | Professional | None | $36.31 | $47.86 | $109.65 |
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 $18.20 Median $21.38 Typical High $51.29 | Professional | None | $18.20 | $21.38 | $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· 17th of 51
$34.67
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.