How much rates vary
Facilitymedian $24 · 10th to 90th $12 to $69Professionalmedian $10 · 10th to 90th $6 to $85
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 $6.46 Median $48.98 Typical High $407.38 | Facility | None | $6.46 | $48.98 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $7.41 Typical High $16.22 | Professional | None | $5.62 | $7.41 | $16.22 |
BCBS Texas Setting Facility Modifier None Typical Low $14.45 Median $37.15 Typical High $69.18 | Facility | None | $14.45 | $37.15 | $69.18 |
BCBS Texas Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $9.77 | Professional | None | $8.71 | $9.77 | $9.77 |
Baylor Scott & White Setting Professional Modifier None Typical Low $11.75 Median $12.88 Typical High $21.88 | Professional | None | $11.75 | $12.88 | $21.88 |
Christus Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $15.85 | Professional | None | $5.75 | $8.32 | $15.85 |
Health Smart Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $28.18 | Professional | None | $12.02 | $14.13 | $28.18 |
Lucent Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None | $85.11 | $85.11 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $6.46 Median $12.02 Typical High $154.88 | Facility | None | $6.46 | $12.02 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $15.14 | Professional | None | $5.62 | $7.59 | $15.14 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $21.88 | Professional | None | $15.85 | $18.20 | $21.88 |
Oscar Health Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $44.67 | Professional | None | $11.48 | $16.98 | $44.67 |
Providence Setting Facility Modifier None Typical Low $5.62 Median $11.48 Typical High $21.88 | Facility | None | $5.62 | $11.48 | $21.88 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $14.79 | Professional | None | $5.75 | $8.32 | $14.79 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $13.18 | Facility | None | $9.55 | $9.55 | $13.18 |
United Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $16.60 | Professional | None | $9.77 | $10.96 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
4 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 GO · Occupational therapy plan Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | GO · Occupational therapy plan | $8.13 | $8.13 | $8.13 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $6.61 Median $8.13 Typical High $9.77 | Professional | GP · Physical therapy plan | $6.61 | $8.13 | $9.77 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $9.55 Median $85.11 Typical High $630.96 | Facility | GP · Physical therapy plan | $9.55 | $85.11 | $630.96 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $11.75 Median $13.18 Typical High $45.71 | Professional | GP · Physical therapy plan | $11.75 | $13.18 | $45.71 |
Where Texas 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.
Texas· 50th of 51
$9.77
AK $22.91MO $9.55
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.