How much rates vary
Facilitymedian $219 · 10th to 90th $129 to $1,230Professionalmedian $72 · 10th to 90th $45 to $158
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 $72.44 Median $72.44 Typical High $107.15 | Facility | None | $72.44 | $72.44 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $85.11 | Professional | None | $66.07 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $36.31 Typical High $42.66 | Professional | 52 · Reduced service | $33.11 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.79 Typical High $16.98 | Professional | 53 · Discontinued | $13.18 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $12.88 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.24 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.61 | $7.24 | $8.51 |
BCBS Illinois Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $1,412.54 | Facility | None | $144.54 | $263.03 | $1,412.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $147.91 | Professional | None | $70.79 | $102.33 | $147.91 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $151.36 | Facility | None | $107.15 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $15.14 Median $47.86 Typical High $54.95 | Professional | None | $15.14 | $47.86 | $54.95 |
Where Illinois sits
The same service costs 2.9 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
$72.44
HI $120NY $41.69
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.