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 $7.08 Median $15.85 Typical High $295.12 | Facility | None | $7.08 | $15.85 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.24 Typical High $12.59 | Professional | None | $7.08 | $7.24 | $12.59 |
AvMed Setting Facility Modifier None Typical Low $11.75 Median $14.79 Typical High $15.14 | Facility | None | $11.75 | $14.79 | $15.14 |
AvMed Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $15.14 | Professional | None | $11.48 | $12.59 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $11.75 | Professional | None | $9.55 | $10.00 | $11.75 |
Florida Blue Setting Facility Modifier None Typical Low $11.22 Median $26.30 Typical High $28.18 | Facility | None | $11.22 | $26.30 | $28.18 |
Florida Blue Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $10.96 | Professional | None | $7.59 | $10.96 | $10.96 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $22.91 | Professional | None | $16.22 | $19.50 | $22.91 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $9.77 Median $39.81 Typical High $60.26 | Professional | None | $9.77 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $14.45 | Professional | None | $14.13 | $14.45 | $14.45 |
3 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 $10.23 Median $10.23 Typical High $10.23 | Professional | CQ · PT assistant | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | GO · Occupational therapy plan | $12.30 | $12.30 | $12.30 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $10.96 Median $11.48 Typical High $12.02 | Professional | GP · Physical therapy plan | $10.96 | $11.48 | $12.02 |
Where Florida 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.
Florida· 43rd of 51
$10.96
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.