How much rates vary
Facilitymedian $49 · 10th to 90th $46 to $59Professionalmedian $50 · 10th to 90th $40 to $66
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 $46.77 Median $50.12 Typical High $60.26 | Facility | None | $46.77 | $50.12 | $60.26 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $23.99 Typical High $28.84 | Facility | 52 · Reduced service | $23.44 | $23.99 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $11.48 | Facility | 53 · Discontinued | $9.33 | $9.77 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $66.07 | Professional | None | $46.77 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.99 Typical High $30.20 | Professional | 52 · Reduced service | $23.44 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $12.02 | Professional | 53 · Discontinued | $9.33 | $9.77 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $52.48 | Professional | None | $38.90 | $38.90 | $52.48 |
AvMed Setting Facility Modifier None Typical Low $45.71 Median $46.77 Typical High $58.88 | Facility | None | $45.71 | $46.77 | $58.88 |
AvMed Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $63.10 | Professional | None | $45.71 | $56.23 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $102.33 | Professional | None | $40.74 | $50.12 | $102.33 |
Florida Blue Setting Facility Modifier None Typical Low $22.39 Median $47.86 Typical High $47.86 | Facility | None | $22.39 | $47.86 | $47.86 |
Florida Blue Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None | $38.90 | $38.90 | $45.71 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $57.54 | Professional | None | $21.38 | $35.48 | $57.54 |
United Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $107.15 | Professional | None | $41.69 | $58.88 | $107.15 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $34.67 Typical High $34.67 | Professional | None | $19.50 | $34.67 | $34.67 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $63.10 Median $66.07 Typical High $66.07 | Facility | AF · Specialist physician | $63.10 | $66.07 | $66.07 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $47.86 Median $48.98 Typical High $53.70 | Facility | HO · Master's level | $47.86 | $48.98 | $53.70 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $53.70 Median $56.23 Typical High $56.23 | Facility | TD · Registered nurse | $53.70 | $56.23 | $56.23 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $63.10 Median $66.07 Typical High $67.61 | Professional | AF · Specialist physician | $63.10 | $66.07 | $67.61 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $47.86 Median $48.98 Typical High $53.70 | Professional | HO · Master's level | $47.86 | $48.98 | $53.70 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $53.70 Median $56.23 Typical High $57.54 | Professional | TD · Registered nurse | $53.70 | $56.23 | $57.54 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | GO · Occupational therapy plan | $52.48 | $52.48 | $52.48 |
Where Florida sits
The same service costs 2.6 times more in Alaska than in Arizona. 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.
Florida· 45th of 51
$50.12
AK $110AZ $42.66
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.