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 $13.80 Median $13.80 Typical High $15.85 | Facility | None | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $16.60 | Professional | None | $12.88 | $13.80 | $16.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.72 Median $20.89 Typical High $29.51 | Facility | None | $10.72 | $20.89 | $29.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $120.23 | Professional | None | $14.45 | $14.79 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.85 | Professional | None | $12.02 | $12.02 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $32.36 | Professional | None | $11.75 | $16.60 | $32.36 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $9.55 | Professional | None | $8.51 | $9.33 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $28.18 | Facility | None | $13.18 | $23.99 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $38.90 | Facility | None | $17.78 | $28.18 | $38.90 |
Premera BCBS Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $29.51 | Facility | None | $19.05 | $20.89 | $29.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.60 | Professional | None | $14.45 | $14.45 | $16.60 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $37.15 | Professional | None | $12.59 | $14.79 | $37.15 |
Wellpoint Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $30.90 | Professional | None | $14.79 | $16.22 | $30.90 |
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 GO · Occupational therapy plan Typical Low $11.75 Median $11.75 Typical High $27.54 | Professional | GO · Occupational therapy plan | $11.75 | $11.75 | $27.54 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $10.72 Median $11.75 Typical High $15.49 | Professional | GP · Physical therapy plan | $10.72 | $11.75 | $15.49 |
Where Washington 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.
Washington· 22nd of 51
$14.13
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.