How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $7.41 Median $7.41 Typical High $19.50 | Facility | None | $7.41 | $7.41 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $14.45 | Professional | None | $7.41 | $7.76 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $28.84 | Professional | None | $6.92 | $8.13 | $28.84 |
United Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $22.39 | Professional | None | $10.00 | $10.96 | $22.39 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $17.78 Median $100.00 Typical High $112.20 | Facility | GP · Physical therapy plan | $17.78 | $100.00 | $112.20 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $9.77 Median $9.77 Typical High $10.00 | Professional | GP · Physical therapy plan | $9.77 | $9.77 | $10.00 |
Where Delaware 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.
Delaware· 49th of 51
$10.00
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.