How much rates vary
Facilitymedian $26 · 10th to 90th $15 to $145Professionalmedian $9 · 10th to 90th $6 to $19
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 $8.51 Median $8.51 Typical High $12.59 | Facility | None | $8.51 | $8.51 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $11.75 | Professional | None | $8.51 | $8.51 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $5.89 | Professional | 52 · Reduced service | $4.27 | $4.27 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.34 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.78 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $1.12 | Professional | 56 · Pre-op care only | $0.85 | $0.85 | $1.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.98 Median $30.90 Typical High $165.96 | Facility | None | $16.98 | $30.90 | $165.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Hally Health Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $20.89 | Professional | None | $9.77 | $12.88 | $20.89 |
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 $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
United Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $19.95 | Facility | None | $12.59 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.03 Typical High $8.32 | Professional | None | $3.98 | $6.03 | $8.32 |
Where Illinois sits
The same service costs 2.7 times more in Montana than in Utah. 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· 30th of 51
$8.71
MT $16.22UT $6.03
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.