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 $8.71 Median $85.11 Typical High $380.19 | Facility | None | $8.71 | $85.11 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $14.45 | Professional | None | $8.71 | $11.48 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $85.11 | Professional | None | $11.75 | $13.80 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $125.89 Typical High $204.17 | Facility | None | $24.55 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $40.74 | Professional | None | $10.72 | $15.85 | $40.74 |
Emblem Health Setting Facility Modifier None Typical Low $16.60 Median $26.92 Typical High $64.57 | Facility | None | $16.60 | $26.92 | $64.57 |
Emblem Health Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $26.92 | Professional | None | $16.60 | $17.38 | $26.92 |
Excellus BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $39.81 | Professional | None | $10.00 | $14.45 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $19.05 | Facility | None | $14.79 | $14.79 | $19.05 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $17.78 | Professional | None | $12.02 | $15.85 | $17.78 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $16.98 Typical High $51.29 | Facility | None | $7.94 | $16.98 | $51.29 |
Univera Setting Professional Modifier None Typical Low $8.32 Median $14.45 Typical High $39.81 | Professional | None | $8.32 | $14.45 | $39.81 |
4 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 GP · Physical therapy plan Typical Low $10.00 Median $11.75 Typical High $12.88 | Professional | GP · Physical therapy plan | $10.00 | $11.75 | $12.88 |
Fidelis Setting Professional Modifier GP · Physical therapy plan Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | GP · Physical therapy plan | $13.18 | $13.18 | $13.18 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | GP · Physical therapy plan | $12.02 | $12.02 | $12.02 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.12 Typical High $10.47 | Professional | 53 · Discontinued | $7.59 | $9.12 | $10.47 |
Where New York 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.
New York· 38th 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.