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 $11.22 Median $11.22 Typical High $14.13 | Facility | None | $11.22 | $11.22 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.49 | Professional | None | $11.22 | $11.22 | $13.49 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | GP · Physical therapy plan | $12.88 | $12.88 | $12.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $16.22 Median $22.91 Typical High $30.20 | Facility | None | $16.22 | $22.91 | $30.20 |
BCBS Michigan Setting Professional Modifier None Typical Low $13.80 Median $14.79 Typical High $14.79 | Professional | None | $13.80 | $14.79 | $14.79 |
BCBS Michigan Setting Professional Modifier GP · Physical therapy plan Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | GP · Physical therapy plan | $16.22 | $16.22 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $30.20 | Facility | None | $15.14 | $15.14 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $15.14 Typical High $33.11 | Professional | None | $10.47 | $15.14 | $33.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $11.22 Median $16.98 Typical High $52.48 | Facility | None | $11.22 | $16.98 | $52.48 |
Health Alliance Plan Setting Facility Modifier GP · Physical therapy plan Typical Low $32.36 Median $70.79 Typical High $91.20 | Facility | GP · Physical therapy plan | $32.36 | $70.79 | $91.20 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $21.88 | Professional | None | $10.96 | $11.48 | $21.88 |
Health Alliance Plan Setting Professional Modifier GP · Physical therapy plan Typical Low $17.38 Median $26.30 Typical High $34.67 | Professional | GP · Physical therapy plan | $17.38 | $26.30 | $34.67 |
Priority Health Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $30.20 | Professional | None | $10.00 | $13.80 | $30.20 |
United Setting Facility Modifier None Typical Low $11.75 Median $14.79 Typical High $16.22 | Facility | None | $11.75 | $14.79 | $16.22 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $18.62 | Professional | None | $12.88 | $16.22 | $18.62 |
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 59 · Distinct service Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 59 · Distinct service | $14.13 | $14.13 | $14.13 |
Where Michigan 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.
Michigan· 43rd of 51
$12.88
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.