How much rates vary
Facilitymedian $174 · 10th to 90th $102 to $1,000Professionalmedian $59 · 10th to 90th $38 to $126
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 $58.88 Median $58.88 Typical High $87.10 | Facility | None | $58.88 | $58.88 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | None | $58.88 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $11.75 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $10.72 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $7.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $1,148.15 | Facility | None | $117.49 | $208.93 | $1,148.15 |
BCBS Illinois Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $117.49 | Professional | None | $56.23 | $83.18 | $117.49 |
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 $87.10 Median $125.89 Typical High $125.89 | Facility | None | $87.10 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $12.02 Median $39.81 Typical High $43.65 | Professional | None | $12.02 | $39.81 | $43.65 |
Where Illinois sits
The same service costs 2.6 times more in Montana than in Ohio. 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
$58.88
MT $100OH $38.02
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.