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 $10.00 Median $15.14 Typical High $44.67 | Facility | None | $10.00 | $15.14 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $15.14 Typical High $17.38 | Professional | None | $7.59 | $15.14 | $17.38 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $7.94 Median $8.91 Typical High $10.00 | Professional | GP · Physical therapy plan | $7.94 | $8.91 | $10.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Facility | None | $14.45 | $15.14 | $15.14 |
BCBS Mississippi Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $12.02 Typical High $19.50 | Professional | None | $4.90 | $12.02 | $19.50 |
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 Facility Modifier None Typical Low $10.72 Median $13.18 Typical High $13.18 | Facility | None | $10.72 | $13.18 | $13.18 |
United Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $18.20 | Professional | None | $9.77 | $11.75 | $18.20 |
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 GO · Occupational therapy plan Typical Low $8.91 Median $8.91 Typical High $11.22 | Professional | GO · Occupational therapy plan | $8.91 | $8.91 | $11.22 |
Where Mississippi 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.
Mississippi· 13th of 51
$15.14
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.