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 $22.39 Median $23.44 Typical High $34.67 | Facility | None | $22.39 | $23.44 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $31.62 | Professional | None | $17.38 | $22.39 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $43.65 | Facility | None | $25.12 | $29.51 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $28.84 | Professional | None | $18.62 | $22.39 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $38.02 | Facility | None | $22.91 | $30.90 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $38.02 | Professional | None | $26.92 | $28.84 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $23.99 Typical High $141.25 | Professional | None | $14.13 | $23.99 | $141.25 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $30.20 | Professional | None | $20.42 | $26.30 | $30.20 |
4 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 59 · Distinct service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $27.54 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | CQ · PT assistant | $25.12 | $25.12 | $25.12 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $19.95 Median $21.88 Typical High $22.39 | Professional | GO · Occupational therapy plan | $19.95 | $21.88 | $22.39 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $21.88 Median $25.12 Typical High $36.31 | Professional | GP · Physical therapy plan | $21.88 | $25.12 | $36.31 |
Where Kentucky 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.
Kentucky· 47th of 51
$22.39
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.