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 $107.15 Median $120.23 Typical High $141.25 | Facility | None | $107.15 | $120.23 | $141.25 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $70.79 | Facility | 52 · Reduced service | $58.88 | $60.26 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $28.84 | Facility | 53 · Discontinued | $23.44 | $23.99 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $141.25 | Professional | None | $107.15 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.99 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $194.98 | Professional | None | $85.11 | $91.20 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $288.40 | Professional | None | $107.15 | $147.91 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $158.49 | Professional | None | $114.82 | $138.04 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $181.97 | Professional | None | $100.00 | $104.71 | $181.97 |
United Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $371.54 | Professional | None | $117.49 | $194.98 | $371.54 |
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 $123.03 Median $128.82 Typical High $128.82 | Professional | GO · Occupational therapy plan | $123.03 | $128.82 | $128.82 |
Where Georgia sits
The same service costs 2.4 times more in Alaska than in Ohio. 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.
Georgia· 41st of 51
$117
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.