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 $12.02 Median $223.87 Typical High $389.05 | Facility | None | $12.02 | $223.87 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $10.96 | Professional | None | $7.59 | $10.96 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $44.67 | Professional | None | $8.71 | $13.49 | $44.67 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $54.95 | Facility | None | $26.92 | $26.92 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $81.28 | Professional | None | $34.67 | $38.02 | $81.28 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.32 Median $39.81 Typical High $67.61 | Professional | None | $8.32 | $39.81 | $67.61 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $64.57 | Professional | None | $15.49 | $34.67 | $64.57 |
Univera Setting Facility Modifier None Typical Low $9.77 Median $10.23 Typical High $30.20 | Facility | None | $9.77 | $10.23 | $30.20 |
Univera Setting Professional Modifier None Typical Low $8.32 Median $39.81 Typical High $67.61 | Professional | None | $8.32 | $39.81 | $67.61 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier GP · Physical therapy plan Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | GP · Physical therapy plan | $8.32 | $8.32 | $8.32 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | GP · Physical therapy plan | $10.72 | $10.72 | $10.72 |
Where New York sits
The same service costs 10.5 times more in Colorado than in Ohio. 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.
New York· 5th of 51
$19.95
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.