How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.30 Median $0.31 Typical High $1.20 | Facility | None | $0.30 | $0.31 | $1.20 |
Aetna Setting Professional Modifier None Typical Low $0.30 Median $0.31 Typical High $0.34 | Professional | None | $0.30 | $0.31 | $0.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 52 · Reduced service | $0.16 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Cigna Setting Facility Modifier None Typical Low $0.42 Median $0.62 Typical High $0.79 | Facility | None | $0.42 | $0.62 | $0.79 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Hally Health Setting Professional Modifier None Typical Low $0.38 Median $0.49 Typical High $2.34 | Professional | None | $0.38 | $0.49 | $2.34 |
Hally Health Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | None | $0.49 | $0.49 | $0.49 |
United Setting Professional Modifier None Typical Low $0.32 Median $0.34 Typical High $0.37 | Professional | None | $0.32 | $0.34 | $0.37 |
Where Illinois sits
The same service costs 3.3 times more in Texas than in North Dakota. 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· 28th of 51
$0.34
TX $0.89ND $0.27
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.