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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $17.38 Typical High $22.91 | Professional | None | $16.22 | $17.38 | $22.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $38.02 | Facility | None | $11.75 | $25.70 | $38.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $134.90 | Professional | None | $17.78 | $18.20 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None | $16.98 | $16.98 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $42.66 | Professional | None | $16.60 | $26.30 | $42.66 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | None | $9.55 | $10.47 | $10.47 |
Pacific Source Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $44.67 | Facility | None | $26.30 | $31.62 | $44.67 |
Premera BCBS Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $46.77 | Facility | None | $21.38 | $31.62 | $46.77 |
Premera BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $38.02 | Facility | None | $23.99 | $26.92 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | None | $17.78 | $17.78 | $19.95 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $44.67 | Professional | None | $16.98 | $18.62 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $34.67 | Professional | None | $16.22 | $18.20 | $34.67 |
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 $12.88 Median $12.88 Typical High $12.88 | Professional | GO · Occupational therapy plan | $12.88 | $12.88 | $12.88 |
Where Washington 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.
Washington· 23rd 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.