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 $11.48 Median $11.48 Typical High $97.72 | Facility | None | $11.48 | $11.48 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $15.85 | Professional | None | $11.48 | $11.48 | $15.85 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | GO · Occupational therapy plan | $18.62 | $18.62 | $19.95 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $15.85 Median $18.62 Typical High $19.95 | Professional | GP · Physical therapy plan | $15.85 | $18.62 | $19.95 |
BCBS Arkansas Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $20.89 | Facility | None | $14.79 | $14.79 | $20.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $18.20 | Professional | None | $5.89 | $7.24 | $18.20 |
Qualchoice Setting Professional Modifier GO · Occupational therapy plan Typical Low $16.60 Median $19.05 Typical High $19.05 | Professional | GO · Occupational therapy plan | $16.60 | $19.05 | $19.05 |
Qualchoice Setting Professional Modifier GP · Physical therapy plan Typical Low $16.60 Median $19.05 Typical High $22.91 | Professional | GP · Physical therapy plan | $16.60 | $19.05 | $22.91 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $14.45 | Facility | None | $12.88 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $15.14 | Professional | None | $10.72 | $12.59 | $15.14 |
1 more rate 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 |
|---|---|---|---|---|---|
Qualchoice Setting Professional Modifier CQ · PT assistant Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | CQ · PT assistant | $21.38 | $21.38 | $21.38 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Virginia. 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.
Arkansas· 7th of 51
$18.62
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.