How much rates vary
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 $79.43 Median $79.43 Typical High $117.49 | Facility | None | $79.43 | $79.43 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $93.33 | Professional | None | $77.62 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $18.62 | Professional | 53 · Discontinued | $15.49 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.02 Typical High $14.13 | Professional | 55 · Aftercare only | $11.48 | $12.02 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.94 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.76 | $7.94 | $9.33 |
BCBS Illinois Setting Facility Modifier None Typical Low $158.49 Median $288.40 Typical High $1,548.82 | Facility | None | $158.49 | $288.40 | $1,548.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $162.18 | Professional | None | $77.62 | $114.82 | $162.18 |
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 $117.49 Median $173.78 Typical High $173.78 | Facility | None | $117.49 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $15.14 Median $53.70 Typical High $57.54 | Professional | None | $15.14 | $53.70 | $57.54 |
Where Illinois sits
The same service costs 4.2 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· 28th of 51
$79.43
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.