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 $13.49 Median $20.42 Typical High $33.88 | Facility | None | $13.49 | $20.42 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $18.20 | Professional | None | $10.72 | $13.18 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $30.20 | Professional | None | $14.45 | $15.14 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $35.48 | Professional | None | $19.95 | $19.95 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $25.70 Typical High $33.88 | Facility | None | $13.49 | $25.70 | $33.88 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $25.70 | Professional | None | $12.59 | $16.22 | $25.70 |
Pacific Source Setting Facility Modifier None Typical Low $15.85 Median $23.99 Typical High $28.18 | Facility | None | $15.85 | $23.99 | $28.18 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $32.36 | Facility | None | $13.80 | $25.70 | $32.36 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $79.43 | Professional | None | $14.45 | $20.89 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.12 Median $34.67 Typical High $58.88 | Facility | None | $25.12 | $34.67 | $58.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $17.38 | Professional | None | $15.85 | $16.60 | $17.38 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $22.91 | Facility | None | $15.85 | $15.85 | $22.91 |
United Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $36.31 | Professional | None | $12.59 | $14.79 | $36.31 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $29.51 Median $54.95 Typical High $144.54 | Facility | GO · Occupational therapy plan | $29.51 | $54.95 | $144.54 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $26.30 Median $36.31 Typical High $81.28 | Facility | GP · Physical therapy plan | $26.30 | $36.31 | $81.28 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $10.00 Median $15.49 Typical High $64.57 | Professional | GP · Physical therapy plan | $10.00 | $15.49 | $64.57 |
Where Oregon 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.
Oregon· 14th of 51
$16.60
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.