How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4.79 Median $6.46 Typical High $9.55 | Facility | None | $4.79 | $6.46 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | None | $4.57 | $4.79 | $4.79 |
AmeriHealth Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $5.25 | Professional | None | $5.01 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $57.54 | Facility | None | $10.72 | $10.72 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $5.89 Typical High $35.48 | Professional | None | $4.79 | $5.89 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $34.67 Typical High $81.28 | Professional | None | $12.02 | $34.67 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $12.88 | Professional | None | $5.01 | $7.59 | $12.88 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Martin's Point Setting Facility Modifier None Typical Low $4.79 Median $8.71 Typical High $12.02 | Facility | None | $4.79 | $8.71 | $12.02 |
Martin's Point Setting Professional Modifier None Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | None | $4.57 | $4.79 | $4.79 |
Oscar Health Setting Professional Modifier None Typical Low $8.32 Median $14.13 Typical High $89.13 | Professional | None | $8.32 | $14.13 | $89.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.01 Median $7.08 Typical High $87.10 | Facility | None | $5.01 | $7.08 | $87.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $7.08 | Professional | None | $5.01 | $5.01 | $7.08 |
United Setting Facility Modifier None Typical Low $7.41 Median $8.13 Typical High $8.13 | Facility | None | $7.41 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $9.33 | Professional | None | $5.01 | $6.61 | $9.33 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $13.49 Median $36.31 Typical High $66.07 | Facility | GP · Physical therapy plan | $13.49 | $36.31 | $66.07 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan + XS · Separate structure Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | GP · Physical therapy plan + XS · Separate structure | $5.89 | $5.89 | $5.89 |
Where Pennsylvania sits
The same service costs 3.5 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.
Pennsylvania· 45th of 51
$5.01
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.