How much rates vary
Facilitymedian $17 · 10th to 90th $10 to $120Professionalmedian $13 · 10th to 90th $9 to $16
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 $9.33 Median $14.45 Typical High $21.88 | Facility | None | $9.33 | $14.45 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $14.45 | Professional | None | $9.33 | $9.77 | $14.45 |
AmeriHealth Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $14.13 | Professional | None | $6.31 | $6.31 | $14.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | None | $12.88 | $12.88 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $77.62 | Facility | None | $21.38 | $21.38 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $69.18 | Professional | None | $9.33 | $11.75 | $69.18 |
Emblem Health Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $81.28 | Professional | None | $22.91 | $34.67 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $26.30 | Professional | None | $11.75 | $15.49 | $26.30 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $36.31 | Facility | None | $20.89 | $30.90 | $36.31 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $12.30 | Professional | None | $8.71 | $12.02 | $12.30 |
Independence Blue Cross Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $14.79 | Professional | None | $6.31 | $6.31 | $14.79 |
Martin's Point Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $21.88 | Facility | None | $9.33 | $14.45 | $21.88 |
Martin's Point Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $13.80 | Professional | None | $9.33 | $9.77 | $13.80 |
Oscar Health Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $371.54 | Facility | None | $128.82 | $131.83 | $371.54 |
Oscar Health Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $107.15 | Professional | None | $16.22 | $24.55 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.13 Median $70.79 Typical High $120.23 | Facility | None | $14.13 | $70.79 | $120.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $15.14 | Professional | None | $14.13 | $15.14 | $15.14 |
United Setting Facility Modifier None Typical Low $14.45 Median $15.85 Typical High $15.85 | Facility | None | $14.45 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $16.98 | Professional | None | $10.96 | $13.18 | $16.98 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier GP · Physical therapy plan Typical Low $22.91 Median $40.74 Typical High $56.23 | Facility | GP · Physical therapy plan | $22.91 | $40.74 | $56.23 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $10.00 Median $10.96 Typical High $10.96 | Professional | GP · Physical therapy plan | $10.00 | $10.96 | $10.96 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $20.42 Median $29.51 Typical High $72.44 | Facility | GO · Occupational therapy plan | $20.42 | $29.51 | $72.44 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $14.13 Median $25.70 Typical High $70.79 | Facility | GP · Physical therapy plan | $14.13 | $25.70 | $70.79 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $10.72 Median $11.22 Typical High $14.79 | Professional | GP · Physical therapy plan | $10.72 | $11.22 | $14.79 |
Martin's Point Setting Facility Modifier GP · Physical therapy plan Typical Low $22.91 Median $40.74 Typical High $56.23 | Facility | GP · Physical therapy plan | $22.91 | $40.74 | $56.23 |
Where Pennsylvania 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.
Pennsylvania· 30th of 51
$12.88
AK $28.18VA $8.91
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.