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 $9.77 Median $123.03 Typical High $295.12 | Facility | None | $9.77 | $123.03 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.72 Typical High $14.45 | Professional | None | $9.33 | $10.72 | $14.45 |
AvMed Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.49 | Facility | None | $12.02 | $15.14 | $15.49 |
AvMed Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $17.38 | Professional | None | $11.75 | $15.14 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $14.45 | Professional | None | $10.00 | $10.47 | $14.45 |
Florida Blue Setting Facility Modifier None Typical Low $14.79 Median $26.92 Typical High $28.84 | Facility | None | $14.79 | $26.92 | $28.84 |
Florida Blue Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $14.13 | Professional | None | $10.00 | $12.88 | $14.13 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $22.91 | Professional | None | $16.60 | $19.50 | $22.91 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $10.96 Median $39.81 Typical High $60.26 | Professional | None | $10.96 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | None | $14.45 | $14.79 | $14.79 |
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 $11.75 Median $11.75 Typical High $12.02 | Professional | GO · Occupational therapy plan | $11.75 | $11.75 | $12.02 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | GP · Physical therapy plan | $11.75 | $11.75 | $12.30 |
Where Florida sits
The same service costs 2.6 times more in Alaska than in Delaware. 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
$13.80
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.