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 $4.79 Median $5.01 Typical High $6.17 | Facility | None | $4.79 | $5.01 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.90 Typical High $5.50 | Professional | None | $4.79 | $4.90 | $5.50 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $4.17 Median $4.17 Typical High $5.13 | Professional | GP · Physical therapy plan | $4.17 | $4.17 | $5.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $6.61 Median $9.33 Typical High $12.30 | Facility | None | $6.61 | $9.33 | $12.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $5.50 Median $5.75 Typical High $5.75 | Professional | None | $5.50 | $5.75 | $5.75 |
BCBS Michigan Setting Professional Modifier GP · Physical therapy plan Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | GP · Physical therapy plan | $6.61 | $6.61 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $16.98 | Facility | None | $15.14 | $15.14 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $7.76 Typical High $17.78 | Professional | None | $4.37 | $7.76 | $17.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.79 Median $25.12 Typical High $29.51 | Facility | None | $4.79 | $25.12 | $29.51 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $15.49 | Professional | None | $4.27 | $4.27 | $15.49 |
Priority Health Setting Professional Modifier None Typical Low $4.27 Median $7.76 Typical High $17.78 | Professional | None | $4.27 | $7.76 | $17.78 |
United Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $6.61 | Facility | None | $4.79 | $6.03 | $6.61 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $10.47 | Professional | None | $5.25 | $8.13 | $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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier GO · Occupational therapy plan Typical Low $4.79 Median $8.32 Typical High $77.62 | Facility | GO · Occupational therapy plan | $4.79 | $8.32 | $77.62 |
Where Michigan 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.
Michigan· 46th of 51
$5.25
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.