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 $7.94 Median $8.51 Typical High $281.84 | Facility | None | $7.94 | $8.51 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $20.89 | Professional | None | $7.94 | $8.51 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $19.05 | Professional | None | $9.12 | $12.88 | $19.05 |
CareSource 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 Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $27.54 | Facility | None | $12.30 | $12.30 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $23.99 | Professional | None | $6.17 | $8.71 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $35.48 | Professional | None | $10.96 | $13.49 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $14.45 Median $15.49 Typical High $16.60 | Professional | None | $14.45 | $15.49 | $16.60 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $19.95 | Professional | None | $10.00 | $12.59 | $19.95 |
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 CQ · PT assistant Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | CQ · PT assistant | $7.41 | $7.41 | $7.41 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $9.12 Median $9.12 Typical High $10.23 | Professional | GP · Physical therapy plan | $9.12 | $9.12 | $10.23 |
Where Georgia 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.
Georgia· 30th of 51
$12.30
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.