How much rates vary
Facilitymedian $204 · 10th to 90th $158 to $282Professionalmedian $126 · 10th to 90th $117 to $132
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 $117.49 Median $117.49 Typical High $128.82 | Facility | None | $117.49 | $117.49 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | None | $117.49 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.44 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.75 | $12.88 | $12.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $275.42 | Facility | None | $158.49 | $204.17 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $302.00 | Facility | None | $169.82 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None | $125.89 | $125.89 | $131.83 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $199.53 | Professional | None | $120.23 | $158.49 | $199.53 |
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 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
Where Illinois sits
The same service costs 2.3 times more in North Dakota than in North Carolina. 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
$126
ND $224NC $95.50
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.