How much rates vary
Facilitymedian $13 · 10th to 90th $5 to $39Professionalmedian $5 · 10th to 90th $3 to $56
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 $3.55 Median $23.44 Typical High $407.38 | Facility | None | $3.55 | $23.44 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $7.94 | Professional | None | $2.69 | $3.63 | $7.94 |
BCBS Texas Setting Facility Modifier None Typical Low $7.94 Median $19.95 Typical High $38.90 | Facility | None | $7.94 | $19.95 | $38.90 |
BCBS Texas Setting Professional Modifier None Typical Low $4.57 Median $5.13 Typical High $5.13 | Professional | None | $4.57 | $5.13 | $5.13 |
Baylor Scott & White Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $10.96 | Professional | None | $5.75 | $6.46 | $10.96 |
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 Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $8.32 | Professional | None | $3.02 | $4.17 | $8.32 |
Health Smart Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $34.67 | Professional | None | $6.17 | $7.41 | $34.67 |
Lucent Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | None | $56.23 | $56.23 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $3.47 Median $6.46 Typical High $154.88 | Facility | None | $3.47 | $6.46 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $8.32 | Professional | None | $2.69 | $3.63 | $8.32 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $10.23 Typical High $12.30 | Professional | None | $8.91 | $10.23 | $12.30 |
Oscar Health Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $21.88 | Professional | None | $5.62 | $8.71 | $21.88 |
Providence Setting Facility Modifier None Typical Low $2.69 Median $5.37 Typical High $11.75 | Facility | None | $2.69 | $5.37 | $11.75 |
Providence Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $8.32 | Professional | None | $3.02 | $4.17 | $8.32 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $6.61 | Facility | None | $4.79 | $4.79 | $6.61 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.89 Typical High $9.33 | Professional | None | $5.13 | $5.89 | $9.33 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
4 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $10.47 Median $10.47 Typical High $104.71 | Professional | GO · Occupational therapy plan | $10.47 | $10.47 | $104.71 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $3.24 Median $4.68 Typical High $5.75 | Professional | GP · Physical therapy plan | $3.24 | $4.68 | $5.75 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $4.90 Median $79.43 Typical High $87.10 | Facility | 59 · Distinct service | $4.90 | $79.43 | $87.10 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $30.90 Median $87.10 Typical High $199.53 | Facility | GO · Occupational therapy plan | $30.90 | $87.10 | $199.53 |
Where Texas 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.
Texas· 45th of 51
$5.25
ND $12.02MO $4.68
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.