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 $14.45 Median $38.90 Typical High $109.65 | Facility | None | $14.45 | $38.90 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.49 Typical High $20.42 | Professional | None | $14.45 | $15.49 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $75.86 Typical High $79.43 | Professional | None | $16.22 | $75.86 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $38.90 Median $87.10 Typical High $158.49 | Facility | None | $38.90 | $87.10 | $158.49 |
Blue Shield Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $19.50 | Professional | None | $10.96 | $15.49 | $19.50 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $23.99 | Professional | None | $16.22 | $21.38 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $316.23 Typical High $316.23 | Facility | None | $12.59 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $30.90 | Professional | None | $14.45 | $17.38 | $30.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $16.60 Typical High $23.99 | Professional | None | $11.22 | $16.60 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $30.90 | Professional | None | $13.18 | $17.78 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None | $109.65 | $109.65 | $134.90 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $70.79 | Professional | None | $12.30 | $15.49 | $70.79 |
Optum Setting Professional Modifier None Typical Low $3.98 Median $54.95 Typical High $70.79 | Professional | None | $3.98 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $38.02 | Facility | None | $15.49 | $22.91 | $38.02 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $30.90 | Professional | None | $14.45 | $17.38 | $30.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $60.26 | Professional | None | $3.98 | $3.98 | $60.26 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $28.18 | Professional | None | $15.14 | $18.62 | $28.18 |
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 $10.23 Median $10.47 Typical High $26.92 | Professional | GO · Occupational therapy plan | $10.23 | $10.47 | $26.92 |
Where California sits
The same service costs 2.7 times more in Alaska than in Ohio. 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.
California· 22nd of 51
$17.38
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.