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 $8.91 Median $9.33 Typical High $14.45 | Facility | None | $8.91 | $9.33 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $14.45 | Professional | None | $6.92 | $8.91 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $21.88 | Facility | None | $12.59 | $14.45 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $19.95 | Professional | None | $9.12 | $12.30 | $19.95 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $15.49 | Facility | None | $9.33 | $12.59 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $15.49 | Professional | None | $10.96 | $11.75 | $15.49 |
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 $5.62 Median $10.72 Typical High $57.54 | Professional | None | $5.62 | $10.72 | $57.54 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $15.14 | Professional | None | $10.00 | $12.02 | $15.14 |
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 GP · Physical therapy plan Typical Low $8.13 Median $8.13 Typical High $11.22 | Professional | GP · Physical therapy plan | $8.13 | $8.13 | $11.22 |
Where Kentucky 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.
Kentucky· 34th of 51
$12.02
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.