How much rates vary
Facilitymedian $25 · 10th to 90th $15 to $79Professionalmedian $12 · 10th to 90th $7 to $95
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 $8.91 Median $20.89 Typical High $371.54 | Facility | None | $8.91 | $20.89 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $9.12 Typical High $19.05 | Professional | None | $6.92 | $9.12 | $19.05 |
BCBS Texas Setting Facility Modifier None Typical Low $16.60 Median $41.69 Typical High $79.43 | Facility | None | $16.60 | $41.69 | $79.43 |
BCBS Texas Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | None | $10.72 | $12.02 | $12.02 |
Baylor Scott & White Setting Facility Modifier None Typical Low $37.15 Median $72.44 Typical High $109.65 | Facility | None | $37.15 | $72.44 | $109.65 |
Christus Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $17.38 | Professional | None | $6.92 | $10.23 | $17.38 |
Health Smart Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $30.90 | Professional | None | $14.45 | $17.38 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | None | $95.50 | $95.50 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $9.12 Median $13.80 Typical High $154.88 | Facility | None | $9.12 | $13.80 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $18.62 | Professional | None | $6.92 | $9.33 | $18.62 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $40.74 | Professional | None | $29.51 | $33.88 | $40.74 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $53.70 | Professional | None | $14.13 | $20.42 | $53.70 |
Providence Setting Facility Modifier None Typical Low $6.92 Median $14.13 Typical High $23.99 | Facility | None | $6.92 | $14.13 | $23.99 |
Providence Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $16.60 | Professional | None | $6.92 | $10.23 | $16.60 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $16.22 | Facility | None | $11.75 | $11.75 | $16.22 |
United Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $16.60 | Professional | None | $11.48 | $12.88 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
6 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 59 · Distinct service Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 59 · Distinct service | $10.00 | $10.00 | $10.00 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $10.00 Median $15.14 Typical High $15.14 | Professional | GO · Occupational therapy plan | $10.00 | $15.14 | $15.14 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $9.77 Median $11.48 Typical High $15.14 | Professional | GP · Physical therapy plan | $9.77 | $11.48 | $15.14 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $9.55 Median $85.11 Typical High $229.09 | Facility | GO · Occupational therapy plan | $9.55 | $85.11 | $229.09 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $11.22 Median $89.13 Typical High $173.78 | Facility | GP · Physical therapy plan | $11.22 | $89.13 | $173.78 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $12.02 Median $17.38 Typical High $17.38 | Professional | GP · Physical therapy plan | $12.02 | $17.38 | $17.38 |
Where Texas 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.
Texas· 46th of 51
$12.02
AK $28.84DE $11.22
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.