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 $25.70 Median $36.31 Typical High $97.72 | Facility | None | $25.70 | $36.31 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $30.20 Typical High $34.67 | Professional | None | $18.62 | $30.20 | $34.67 |
BCBS Illinois Setting Facility Modifier None Typical Low $45.71 Median $75.86 Typical High $275.42 | Facility | None | $45.71 | $75.86 | $275.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | None | $31.62 | $31.62 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $54.95 | Professional | None | $23.44 | $35.48 | $54.95 |
Hally Health Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $79.43 | Professional | None | $33.11 | $46.77 | $79.43 |
Hally Health Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $45.71 | Professional | None | $42.66 | $43.65 | $45.71 |
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 $38.90 Median $38.90 Typical High $41.69 | Facility | None | $38.90 | $38.90 | $41.69 |
United Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $54.95 | Professional | None | $27.54 | $35.48 | $54.95 |
2 more rates 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 $25.70 Median $28.84 Typical High $28.84 | Professional | GO · Occupational therapy plan | $25.70 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $25.70 Median $28.84 Typical High $35.48 | Professional | GP · Physical therapy plan | $25.70 | $28.84 | $35.48 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Virginia. 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
$31.62
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.