How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $28.84 | Professional | None | $17.38 | $17.38 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $100.00 | Facility | None | $31.62 | $31.62 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $56.23 | Professional | None | $14.45 | $15.14 | $56.23 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $41.69 | Professional | None | $15.14 | $19.50 | $41.69 |
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 $30.20 Median $81.28 Typical High $89.13 | Facility | GP · Physical therapy plan | $30.20 | $81.28 | $89.13 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $17.38 Median $19.50 Typical High $22.39 | Professional | GP · Physical therapy plan | $17.38 | $19.50 | $22.39 |
Where West Virginia 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.
West Virginia· 41st of 51
$18.20
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.