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 $16.98 Median $29.51 Typical High $165.96 | Facility | None | $16.98 | $29.51 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $34.67 | Professional | None | $14.13 | $14.13 | $34.67 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $9.77 Median $10.96 Typical High $33.88 | Professional | GP · Physical therapy plan | $9.77 | $10.96 | $33.88 |
BCBS Nebraska Setting Facility Modifier None Typical Low $42.66 Median $141.25 Typical High $288.40 | Facility | None | $42.66 | $141.25 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | None | $19.50 | $22.91 | $29.51 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $79.43 Typical High $151.36 | Facility | None | $29.51 | $79.43 | $151.36 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $89.13 | Professional | None | $11.22 | $16.98 | $89.13 |
Midlands Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $36.31 | Professional | None | $18.20 | $22.91 | $36.31 |
Midlands Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $32.36 | Professional | None | $17.78 | $28.18 | $32.36 |
Oscar Health Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $194.98 | Facility | None | $165.96 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $12.88 | Facility | None | $11.48 | $11.48 | $12.88 |
United Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $36.31 | Professional | None | $10.96 | $12.59 | $36.31 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | CQ · PT assistant | $9.77 | $9.77 | $9.77 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $10.96 Median $10.96 Typical High $33.88 | Professional | GO · Occupational therapy plan | $10.96 | $10.96 | $33.88 |
Where Nebraska 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.
Nebraska· 4th of 51
$19.50
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.