How much rates vary
Facilitymedian $79 · 10th to 90th $22 to $174Professionalmedian $30 · 10th to 90th $13 to $79
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 $28.18 Typical High $158.49 | Facility | None | $12.02 | $28.18 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $34.67 | Professional | None | $12.02 | $21.38 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $28.84 | Professional | None | $15.14 | $25.70 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $75.86 Typical High $79.43 | Professional | None | $25.12 | $75.86 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $43.65 Median $93.33 Typical High $158.49 | Facility | None | $43.65 | $93.33 | $158.49 |
Blue Shield Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $34.67 | Professional | None | $20.42 | $28.84 | $34.67 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.60 Median $33.11 Typical High $39.81 | Professional | None | $16.60 | $33.11 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $316.23 Typical High $316.23 | Facility | None | $21.38 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $50.12 | Professional | None | $21.88 | $28.18 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $42.66 | Professional | None | $10.96 | $16.60 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $61.66 | Professional | None | $23.99 | $32.36 | $61.66 |
Lucent Health Setting Professional Modifier None Typical Low $35.48 Median $186.21 Typical High $245.47 | Professional | None | $35.48 | $186.21 | $245.47 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $70.79 | Professional | None | $12.02 | $15.14 | $70.79 |
Optum Setting Professional Modifier None Typical Low $10.96 Median $54.95 Typical High $70.79 | Professional | None | $10.96 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $61.66 | Facility | None | $21.38 | $31.62 | $61.66 |
Providence Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $51.29 | Professional | None | $21.88 | $28.18 | $51.29 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10.96 Median $75.86 Typical High $102.33 | Professional | None | $10.96 | $75.86 | $102.33 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $46.77 | Professional | None | $24.55 | $31.62 | $46.77 |
3 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 $25.70 Median $25.70 Typical High $30.20 | Professional | GO · Occupational therapy plan | $25.70 | $25.70 | $30.20 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $23.99 Median $25.70 Typical High $32.36 | Professional | GP · Physical therapy plan | $23.99 | $25.70 | $32.36 |
HealthNet Setting Professional Modifier GP · Physical therapy plan Typical Low $28.84 Median $117.49 Typical High $125.89 | Professional | GP · Physical therapy plan | $28.84 | $117.49 | $125.89 |
Where California sits
The same service costs 3.5 times more in Minnesota 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.
California· 20th of 51
$30.90
MN $69.18OH $19.50
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.