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 $12.88 Median $19.95 Typical High $46.77 | Facility | None | $12.88 | $19.95 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $15.49 | Professional | None | $12.88 | $13.49 | $15.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | None | $25.70 | $25.70 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $93.33 | Facility | None | $53.70 | $53.70 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $52.48 | Professional | None | $12.30 | $15.14 | $52.48 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $81.28 | Professional | None | $26.30 | $34.67 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $64.57 | Professional | None | $18.20 | $24.55 | $64.57 |
Highmark BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Martin's Point Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $46.77 | Facility | None | $12.88 | $19.95 | $46.77 |
Martin's Point Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $14.45 | Professional | None | $12.88 | $13.49 | $14.45 |
Oscar Health Setting Professional Modifier None Typical Low $22.39 Median $53.70 Typical High $107.15 | Professional | None | $22.39 | $53.70 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.05 Median $56.23 Typical High $95.50 | Facility | None | $19.05 | $56.23 | $95.50 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $21.88 | Professional | None | $19.05 | $21.88 | $21.88 |
United Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $20.89 | Facility | None | $19.05 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $27.54 | Professional | None | $16.98 | $19.50 | $27.54 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $19.95 Median $31.62 Typical High $67.61 | Facility | GP · Physical therapy plan | $19.95 | $31.62 | $67.61 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $14.45 Median $15.49 Typical High $19.95 | Professional | GP · Physical therapy plan | $14.45 | $15.49 | $19.95 |
Where Pennsylvania sits
The same service costs 3.0 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.
Pennsylvania· 50th of 51
$13.49
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.