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 $4.68 Median $4.79 Typical High $7.94 | Facility | None | $4.68 | $4.79 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $7.94 | Professional | None | $3.31 | $4.68 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $6.92 Typical High $10.23 | Facility | None | $5.89 | $6.92 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $13.18 | Professional | None | $4.37 | $6.17 | $13.18 |
CareSource Setting Facility Modifier None Typical Low $4.79 Median $6.46 Typical High $7.94 | Facility | None | $4.79 | $6.46 | $7.94 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $7.94 | Professional | None | $5.62 | $6.03 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $5.25 Typical High $32.36 | Professional | None | $2.63 | $5.25 | $32.36 |
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 $5.01 Median $5.75 Typical High $7.59 | Professional | None | $5.01 | $5.75 | $7.59 |
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 $4.57 Median $4.79 Typical High $10.23 | Professional | GO · Occupational therapy plan | $4.57 | $4.79 | $10.23 |
Where Kentucky 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.
Kentucky· 32nd 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.