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 $8.13 Median $53.70 Typical High $416.87 | Facility | None | $8.13 | $53.70 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $7.94 Typical High $10.00 | Professional | None | $6.17 | $7.94 | $10.00 |
BCBS Texas Setting Facility Modifier None Typical Low $12.30 Median $30.90 Typical High $58.88 | Facility | None | $12.30 | $30.90 | $58.88 |
BCBS Texas Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $10.23 | Professional | None | $6.76 | $9.55 | $10.23 |
Health Smart Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | None | $89.13 | $89.13 | $117.49 |
Moda Health Setting Facility Modifier None Typical Low $6.92 Median $13.49 Typical High $154.88 | Facility | None | $6.92 | $13.49 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $6.03 Median $6.17 Typical High $9.12 | Professional | None | $6.03 | $6.17 | $9.12 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $13.49 | Facility | None | $6.17 | $11.48 | $13.49 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $10.23 | Professional | None | $6.76 | $9.55 | $10.23 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $54.95 | Professional | None | $14.13 | $20.42 | $54.95 |
1 more rate 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 GP · Physical therapy plan Typical Low $12.59 Median $85.11 Typical High $204.17 | Facility | GP · Physical therapy plan | $12.59 | $85.11 | $204.17 |
Where Texas 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.
Texas· 46th of 51
$8.71
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.