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 $11.75 Median $28.84 Typical High $57.54 | Facility | None | $11.75 | $28.84 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $44.67 | Professional | None (both parts) | $10.00 | $10.00 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $8.71 Median $11.75 Typical High $15.85 | Professional | None (both parts) | $8.71 | $11.75 | $15.85 |
Aultcare Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None (both parts) | $12.02 | $12.02 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.79 Median $15.14 Typical High $19.95 | Professional | None (both parts) | $14.79 | $15.14 | $19.95 |
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 $13.80 Median $14.79 Typical High $31.62 | Professional | None (both parts) | $13.80 | $14.79 | $31.62 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $48.98 Median $77.62 Typical High $147.91 | Facility | None | $48.98 | $77.62 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $18.20 | Professional | None (both parts) | $5.01 | $5.01 | $18.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | None (both parts) | $10.72 | $10.72 | $12.59 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $12.59 Median $15.49 Typical High $18.20 | Professional | None (both parts) | $12.59 | $15.49 | $18.20 |
United Setting Facility Modifier None Typical Low $12.59 Median $14.13 Typical High $17.38 | Facility | None | $12.59 | $14.13 | $17.38 |
United Setting Professional Modifier None (both parts) Typical Low $12.59 Median $15.14 Typical High $20.89 | Professional | None (both parts) | $12.59 | $15.14 | $20.89 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | GO · Occupational therapy plan | $12.02 | $12.02 | $12.02 |
Where Ohio 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.
Ohio· 51st of 51
$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.