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 $10.96 Median $158.49 Typical High $338.84 | Facility | None | $10.96 | $158.49 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $14.13 | Professional | None | $10.72 | $12.88 | $14.13 |
AvMed Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $16.60 | Facility | None | $12.88 | $16.22 | $16.60 |
AvMed Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $19.05 | Professional | None | $12.30 | $16.22 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $16.60 | Professional | None | $11.75 | $12.30 | $16.60 |
Florida Blue Setting Facility Modifier None Typical Low $15.85 Median $28.84 Typical High $30.90 | Facility | None | $15.85 | $28.84 | $30.90 |
Florida Blue Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $15.49 | Professional | None | $10.72 | $13.80 | $15.49 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $26.92 | Professional | None | $19.50 | $22.91 | $26.92 |
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 $12.59 Median $39.81 Typical High $60.26 | Professional | None | $12.59 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | None | $15.49 | $15.85 | $15.85 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | GO · Occupational therapy plan | $12.30 | $12.30 | $13.49 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | GP · Physical therapy plan | $12.30 | $12.30 | $12.30 |
Where Florida 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.
Florida· 37th of 51
$15.49
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.