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 $251.19 Median $251.19 Typical High $371.54 | Facility | None | $251.19 | $251.19 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | 52 · Reduced service | $125.89 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $51.29 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $52.48 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $34.67 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $34.67 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $912.01 Typical High $4,897.79 | Facility | None | $501.19 | $912.01 | $4,897.79 |
BCBS Illinois Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $602.56 | Professional | None | $269.15 | $363.08 | $602.56 |
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 $371.54 Median $602.56 Typical High $602.56 | Facility | None | $371.54 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $234.42 | Professional | None | $165.96 | $181.97 | $234.42 |
Where Illinois sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 31st of 51
$251
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.