How much rates vary
Facilitymedian $30 · 10th to 90th $12 to $331Professionalmedian $15 · 10th to 90th $13 to $62
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 $10.23 Median $165.96 Typical High $389.05 | Facility | None | $10.23 | $165.96 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $14.45 | Professional | None | $10.23 | $14.45 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $85.11 | Professional | None | $13.18 | $15.49 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $125.89 Typical High $204.17 | Facility | None | $25.70 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $50.12 | Professional | None | $11.48 | $18.20 | $50.12 |
Emblem Health Setting Facility Modifier None Typical Low $18.20 Median $27.54 Typical High $69.18 | Facility | None | $18.20 | $27.54 | $69.18 |
Emblem Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $28.84 | Professional | None | $18.62 | $18.62 | $28.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $39.81 | Professional | None | $10.72 | $15.14 | $39.81 |
MVP Health Care Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $20.42 | Facility | None | $15.85 | $15.85 | $20.42 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $20.89 | Professional | None | $14.13 | $16.98 | $20.89 |
Univera Setting Facility Modifier None Typical Low $8.51 Median $18.20 Typical High $54.95 | Facility | None | $8.51 | $18.20 | $54.95 |
Univera Setting Professional Modifier None Typical Low $8.91 Median $15.14 Typical High $39.81 | Professional | None | $8.91 | $15.14 | $39.81 |
5 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 $20.89 Median $20.89 Typical High $20.89 | Professional | GO · Occupational therapy plan | $20.89 | $20.89 | $20.89 |
Fidelis Setting Professional Modifier GO · Occupational therapy plan Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | GO · Occupational therapy plan | $17.38 | $17.38 | $17.38 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $9.12 Median $9.12 Typical High $169.82 | Facility | GO · Occupational therapy plan | $9.12 | $9.12 | $169.82 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | GP · Physical therapy plan | $14.13 | $14.13 | $14.79 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $11.48 Typical High $13.18 | Professional | 53 · Discontinued | $9.12 | $11.48 | $13.18 |
Where New York 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.
New York· 34th of 51
$15.49
AK $31.62OH $11.75
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.