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 $72.44 Median $102.33 Typical High $162.18 | Facility | None | $72.44 | $102.33 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $93.33 | Professional | None | $63.10 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $40.74 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $707.95 | Facility | None | $125.89 | $190.55 | $707.95 |
BCBS Illinois Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | None | $75.86 | $75.86 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $147.91 | Professional | None | $69.18 | $81.28 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $190.55 | Professional | None | $93.33 | $134.90 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | None | $123.03 | $123.03 | $131.83 |
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 $107.15 Median $107.15 Typical High $117.49 | Facility | None | $107.15 | $107.15 | $117.49 |
United Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $134.90 | Professional | None | $70.79 | $77.62 | $134.90 |
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 GP · Physical therapy plan Typical Low $75.86 Median $79.43 Typical High $100.00 | Professional | GP · Physical therapy plan | $75.86 | $79.43 | $100.00 |
Where Illinois sits
The same service costs 3.3 times more in Alaska 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· 32nd of 51
$81.28
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.