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 $13.18 Median $15.14 Typical High $97.72 | Facility | None | $13.18 | $15.14 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | None | $13.18 | $13.18 | $13.49 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $15.49 Median $15.49 Typical High $25.12 | Professional | GO · Occupational therapy plan | $15.49 | $15.49 | $25.12 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | GP · Physical therapy plan | $15.49 | $15.49 | $15.49 |
BCBS Arkansas Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $16.98 | Facility | None | $12.02 | $12.02 | $16.98 |
BCBS Arkansas Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $10.47 Typical High $18.62 | Professional | None | $4.90 | $10.47 | $18.62 |
Qualchoice Setting Professional Modifier GO · Occupational therapy plan Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | GO · Occupational therapy plan | $17.78 | $17.78 | $25.12 |
Qualchoice Setting Professional Modifier GP · Physical therapy plan Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | GP · Physical therapy plan | $17.78 | $17.78 | $25.12 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.02 Typical High $12.02 | Facility | None | $10.72 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $17.78 | Professional | None | $10.00 | $11.75 | $17.78 |
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 |
|---|---|---|---|---|---|
Qualchoice Setting Professional Modifier CQ · PT assistant Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | CQ · PT assistant | $33.88 | $33.88 | $33.88 |
Where Arkansas sits
The same service costs 2.4 times more in Alaska 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.
Arkansas· 10th of 51
$15.49
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.