How much rates vary
Facilitymedian $98 · 10th to 90th $58 to $550Professionalmedian $32 · 10th to 90th $20 to $71
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 $32.36 Median $32.36 Typical High $47.86 | Facility | None | $32.36 | $32.36 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $38.90 | Professional | None | $28.84 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $16.22 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.46 Typical High $7.59 | Professional | 53 · Discontinued | $5.89 | $6.46 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.90 Typical High $5.75 | Professional | 55 · Aftercare only | $4.37 | $4.90 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.24 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.88 | $3.24 | $3.80 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
BCBS Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $630.96 | Facility | None | $64.57 | $117.49 | $630.96 |
BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Hally Health Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $66.07 | Professional | None | $31.62 | $45.71 | $66.07 |
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 |
United Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $66.07 | Facility | None | $47.86 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $10.00 Median $21.88 Typical High $26.30 | Professional | None | $10.00 | $21.88 | $26.30 |
Where Illinois sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 25th of 51
$32.36
MT $64.57IN $19.95
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.