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 $4.57 Median $7.24 Typical High $79.43 | Facility | None | $4.57 | $7.24 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.79 Typical High $8.51 | Professional | None | $4.17 | $4.79 | $8.51 |
BCBS Illinois Setting Facility Modifier None Typical Low $7.76 Median $23.99 Typical High $64.57 | Facility | None | $7.76 | $23.99 | $64.57 |
BCBS Illinois Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | None | $5.89 | $5.89 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $6.61 Typical High $11.75 | Professional | None | $5.62 | $6.61 | $11.75 |
Hally Health Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $32.36 | Professional | None | $6.03 | $8.51 | $32.36 |
Hally Health Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $8.51 | Professional | None | $7.41 | $7.76 | $8.51 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $7.41 | Facility | None | $6.61 | $6.61 | $7.41 |
United Setting Professional Modifier None Typical Low $5.25 Median $6.76 Typical High $10.72 | Professional | None | $5.25 | $6.76 | $10.72 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $7.59 Median $7.59 Typical High $104.71 | Professional | GO · Occupational therapy plan | $7.59 | $7.59 | $104.71 |
Where Illinois sits
The same service costs 2.6 times more in North Dakota than in Missouri. 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· 37th of 51
$5.89
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.