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 $16.60 Median $30.20 Typical High $295.12 | Facility | None | $16.60 | $30.20 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $32.36 | Professional | None | $16.60 | $18.62 | $32.36 |
AvMed Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $30.20 | Facility | None | $23.44 | $29.51 | $30.20 |
AvMed Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $30.90 | Professional | None | $22.91 | $28.84 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $75.86 | Facility | None | $47.86 | $47.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $26.92 | Professional | None | $20.42 | $20.89 | $26.92 |
Florida Blue Setting Facility Modifier None Typical Low $26.30 Median $52.48 Typical High $56.23 | Facility | None | $26.30 | $52.48 | $56.23 |
Florida Blue Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $25.12 | Professional | None | $17.38 | $23.44 | $25.12 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $22.39 | Professional | None | $17.38 | $19.05 | $22.39 |
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 $21.88 Median $39.81 Typical High $60.26 | Professional | None | $21.88 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
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 CQ · PT assistant Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | CQ · PT assistant | $22.39 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $21.88 Median $23.44 Typical High $23.99 | Professional | GO · Occupational therapy plan | $21.88 | $23.44 | $23.99 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.95 Median $22.91 Typical High $23.99 | Professional | GP · Physical therapy plan | $19.95 | $22.91 | $23.99 |
Where Florida 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.
Florida· 39th of 51
$23.99
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.