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 $6.31 Median $23.44 Typical High $165.96 | Facility | None | $6.31 | $23.44 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.01 Typical High $9.77 | Professional | None | $4.68 | $5.01 | $9.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.08 Median $30.90 Typical High $45.71 | Facility | None | $7.08 | $30.90 | $45.71 |
BCBS Arizona Setting Professional Modifier None Typical Low $3.47 Median $4.57 Typical High $5.13 | Professional | None | $3.47 | $4.57 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $8.51 | Professional | None | $4.79 | $4.79 | $8.51 |
Medica Setting Facility Modifier None Typical Low $5.01 Median $7.24 Typical High $100.00 | Facility | None | $5.01 | $7.24 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $57.54 | Professional | None | $6.17 | $9.33 | $57.54 |
United Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $10.47 | Professional | None | $6.03 | $6.92 | $10.47 |
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 $4.68 Median $4.68 Typical High $4.68 | Professional | GO · Occupational therapy plan | $4.68 | $4.68 | $4.68 |
Where Arizona sits
The same service costs 2.6 times more in North Dakota 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.
Arizona· 30th of 51
$6.17
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.