How much rates vary
Facilitymedian $21 · 10th to 90th $14 to $74Professionalmedian $12 · 10th to 90th $7 to $89
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 $7.76 Median $16.22 Typical High $371.54 | Facility | None | $7.76 | $16.22 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $14.13 | Professional | None | $6.76 | $8.91 | $14.13 |
BCBS Texas Setting Facility Modifier None Typical Low $14.79 Median $37.15 Typical High $74.13 | Facility | None | $14.79 | $37.15 | $74.13 |
BCBS Texas Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | None | $10.47 | $11.75 | $11.75 |
Baylor Scott & White Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $52.48 | Professional | None | $14.13 | $15.49 | $52.48 |
Christus Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $14.45 | Professional | None | $6.76 | $10.00 | $14.45 |
Health Smart Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $21.38 | Professional | None | $12.59 | $16.98 | $21.38 |
Lucent Health Setting Professional Modifier None Typical Low $17.38 Median $89.13 Typical High $120.23 | Professional | None | $17.38 | $89.13 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $7.76 Median $13.80 Typical High $190.55 | Facility | None | $7.76 | $13.80 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $13.80 | Professional | None | $6.76 | $9.12 | $13.80 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $38.02 | Professional | None | $27.54 | $32.36 | $38.02 |
Oscar Health Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $144.54 | Facility | None | $123.03 | $138.04 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $13.80 Median $19.95 Typical High $52.48 | Professional | None | $13.80 | $19.95 | $52.48 |
Providence Setting Facility Modifier None Typical Low $6.76 Median $13.49 Typical High $17.38 | Facility | None | $6.76 | $13.49 | $17.38 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $14.13 | Professional | None | $6.76 | $9.77 | $14.13 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $15.85 | Facility | None | $11.48 | $11.48 | $15.85 |
United Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $14.45 | Professional | None | $10.23 | $12.02 | $14.45 |
Wellpoint Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
5 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 GO · Occupational therapy plan Typical Low $9.77 Median $12.59 Typical High $14.79 | Professional | GO · Occupational therapy plan | $9.77 | $12.59 | $14.79 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $9.55 Median $11.22 Typical High $11.75 | Professional | GP · Physical therapy plan | $9.55 | $11.22 | $11.75 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $18.20 Median $87.10 Typical High $199.53 | Facility | GO · Occupational therapy plan | $18.20 | $87.10 | $199.53 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $13.49 Median $79.43 Typical High $173.78 | Facility | GP · Physical therapy plan | $13.49 | $79.43 | $173.78 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $13.49 Median $16.98 Typical High $17.78 | Professional | GP · Physical therapy plan | $13.49 | $16.98 | $17.78 |
Where Texas 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.
Texas· 37th of 51
$11.75
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.