How much rates vary
Facilitymedian $45 · 10th to 90th $26 to $251Professionalmedian $15 · 10th to 90th $10 to $32
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 $14.79 Median $14.79 Typical High $21.88 | Facility | None | $14.79 | $14.79 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $19.05 | Professional | None | $14.13 | $14.79 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.41 Typical High $8.91 | Professional | 52 · Reduced service | $7.08 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.95 Typical High $3.63 | Professional | 53 · Discontinued | $2.82 | $2.95 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.24 Typical High $2.69 | Professional | 55 · Aftercare only | $2.09 | $2.24 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.48 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.41 | $1.48 | $1.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $29.51 Median $52.48 Typical High $288.40 | Facility | None | $29.51 | $52.48 | $288.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Hally Health Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $74.13 | Professional | None | $14.45 | $21.38 | $74.13 |
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 $21.88 Median $32.36 Typical High $32.36 | Facility | None | $21.88 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $15.14 | Professional | None | $9.12 | $10.23 | $15.14 |
Where Illinois sits
The same service costs 3.0 times more in Montana 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
$14.79
MT $25.12NY $8.51
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.