How much rates vary
Facilitymedian $15 · 10th to 90th $8 to $83Professionalmedian $4 · 10th to 90th $3 to $8
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 $3.39 Median $4.07 Typical High $7.41 | Facility | None | $3.39 | $4.07 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.07 Typical High $6.17 | Professional | None | $3.39 | $4.07 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $2.04 Typical High $3.09 | Professional | 52 · Reduced service | $1.70 | $2.04 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.81 Typical High $1.23 | Professional | 53 · Discontinued | $0.68 | $0.81 | $1.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.51 Median $3.02 Typical High $4.68 | Professional | 54 · Surgery only | $2.51 | $3.02 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.51 Median $0.62 Typical High $0.93 | Professional | 55 · Aftercare only | $0.51 | $0.62 | $0.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.41 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.34 | $0.41 | $0.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $8.51 Median $19.95 Typical High $83.18 | Facility | None | $8.51 | $19.95 | $83.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $7.41 | Professional | None | $5.89 | $7.41 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Hally Health Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $25.70 | Professional | None | $6.17 | $8.32 | $25.70 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.63 Typical High $8.71 | Professional | None | $3.09 | $3.63 | $8.71 |
Where Illinois sits
The same service costs 2.7 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· 26th of 51
$4.68
HI $7.94NY $2.95
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.