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 $13.80 Median $13.80 Typical High $20.89 | Facility | None | $13.80 | $13.80 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $22.91 | Professional | None | $13.49 | $13.80 | $22.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.96 Median $21.88 Typical High $30.20 | Facility | None | $10.96 | $21.88 | $30.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $123.03 | Professional | None | $14.79 | $15.14 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $34.67 | Professional | None | $13.80 | $21.38 | $34.67 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $9.77 | Professional | None | $8.71 | $9.55 | $9.77 |
Pacific Source Setting Facility Modifier None Typical Low $16.22 Median $28.84 Typical High $35.48 | Facility | None | $16.22 | $28.84 | $35.48 |
Premera BCBS Setting Facility Modifier None Typical Low $18.20 Median $28.84 Typical High $38.90 | Facility | None | $18.20 | $28.84 | $38.90 |
Premera BCBS Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.95 Median $22.91 Typical High $30.20 | Facility | None | $19.95 | $22.91 | $30.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $16.98 | Professional | None | $14.79 | $14.79 | $16.98 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $38.02 | Professional | None | $14.45 | $15.14 | $38.02 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $30.90 | Professional | None | $15.14 | $16.60 | $30.90 |
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 CQ · PT assistant Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | CQ · PT assistant | $12.02 | $12.02 | $12.02 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $12.02 Median $12.02 Typical High $16.60 | Professional | GP · Physical therapy plan | $12.02 | $12.02 | $16.60 |
Where Washington 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.
Washington· 29th of 51
$14.45
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.