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 $3.63 Median $9.12 Typical High $22.91 | Facility | None | $3.63 | $9.12 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3.31 Median $3.72 Typical High $43.65 | Professional | None (both parts) | $3.31 | $3.72 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.07 Median $5.37 Typical High $6.92 | Professional | None (both parts) | $4.07 | $5.37 | $6.92 |
Aultcare Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None (both parts) | $4.57 | $4.57 | $4.57 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
CareSource Setting Professional Modifier None (both parts) Typical Low $5.75 Median $6.03 Typical High $7.76 | Professional | None (both parts) | $5.75 | $6.03 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4.68 Median $5.01 Typical High $12.59 | Professional | None (both parts) | $4.68 | $5.01 | $12.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $25.12 Median $56.23 Typical High $123.03 | Facility | None | $25.12 | $56.23 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $1.32 Median $1.95 Typical High $6.03 | Professional | None (both parts) | $1.32 | $1.95 | $6.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | None (both parts) | $5.13 | $5.13 | $6.03 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $4.90 Median $6.03 Typical High $7.76 | Professional | None (both parts) | $4.90 | $6.03 | $7.76 |
United Setting Facility Modifier None Typical Low $4.79 Median $5.37 Typical High $6.61 | Facility | None | $4.79 | $5.37 | $6.61 |
United Setting Professional Modifier None (both parts) Typical Low $4.79 Median $5.50 Typical High $8.32 | Professional | None (both parts) | $4.79 | $5.50 | $8.32 |
2 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.70 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | GO · Occupational therapy plan | $4.57 | $4.57 | $4.57 |
Where Ohio 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.
Ohio· 44th 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.