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 $5.50 Median $10.23 Typical High $346.74 | Facility | None | $5.50 | $10.23 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $7.94 | Professional | None | $5.01 | $5.50 | $7.94 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7.24 Median $12.88 Typical High $20.89 | Facility | None | $7.24 | $12.88 | $20.89 |
BCBS Louisiana Setting Professional Modifier None Typical Low $4.57 Median $6.92 Typical High $7.24 | Professional | None | $4.57 | $6.92 | $7.24 |
Christus Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $6.31 | Professional | None | $2.82 | $2.95 | $6.31 |
United Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $6.03 | Facility | None | $4.79 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $8.32 | Professional | None | $4.47 | $5.50 | $8.32 |
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 $4.37 Median $4.37 Typical High $6.76 | Professional | GO · Occupational therapy plan | $4.37 | $4.37 | $6.76 |
Where Louisiana 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.
Louisiana· 42nd of 51
$5.62
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.