How much rates vary
Facilitymedian $41 · 10th to 90th $22 to $91Professionalmedian $25 · 10th to 90th $22 to $33
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 $22.39 Typical High $28.84 | Facility | None | $22.39 | $22.39 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | None | $22.39 | $22.39 | $24.55 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $28.18 Median $28.84 Typical High $41.69 | Professional | GP · Physical therapy plan | $28.18 | $28.84 | $41.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $60.26 | Facility | None | $32.36 | $45.71 | $60.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | None | $28.18 | $30.20 | $30.20 |
BCBS Michigan Setting Professional Modifier GP · Physical therapy plan Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | GP · Physical therapy plan | $32.36 | $32.36 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $48.98 | Facility | None | $15.14 | $15.14 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $67.61 | Professional | None | $22.39 | $27.54 | $67.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $22.39 Median $66.07 Typical High $102.33 | Facility | None | $22.39 | $66.07 | $102.33 |
Health Alliance Plan Setting Facility Modifier GP · Physical therapy plan Typical Low $40.74 Median $77.62 Typical High $117.49 | Facility | GP · Physical therapy plan | $40.74 | $77.62 | $117.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $38.90 | Professional | None | $22.39 | $22.39 | $38.90 |
Health Alliance Plan Setting Professional Modifier GP · Physical therapy plan Typical Low $23.99 Median $50.12 Typical High $85.11 | Professional | GP · Physical therapy plan | $23.99 | $50.12 | $85.11 |
Priority Health Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $61.66 | Professional | None | $20.89 | $27.54 | $61.66 |
United Setting Facility Modifier None Typical Low $23.44 Median $28.84 Typical High $31.62 | Facility | None | $23.44 | $28.84 | $31.62 |
United Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $31.62 | Professional | None | $26.30 | $27.54 | $31.62 |
6 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 $25.12 Median $25.12 Typical High $28.84 | Professional | GO · Occupational therapy plan | $25.12 | $25.12 | $28.84 |
Health Alliance Plan Setting Facility Modifier CQ · PT assistant Typical Low $69.18 Median $83.18 Typical High $97.72 | Facility | CQ · PT assistant | $69.18 | $83.18 | $97.72 |
Health Alliance Plan Setting Facility Modifier GO · Occupational therapy plan Typical Low $50.12 Median $89.13 Typical High $102.33 | Facility | GO · Occupational therapy plan | $50.12 | $89.13 | $102.33 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $9.12 Median $21.38 Typical High $36.31 | Professional | 59 · Distinct service | $9.12 | $21.38 | $36.31 |
Health Alliance Plan Setting Professional Modifier CQ · PT assistant Typical Low $22.39 Median $50.12 Typical High $89.13 | Professional | CQ · PT assistant | $22.39 | $50.12 | $89.13 |
Health Alliance Plan Setting Professional Modifier GO · Occupational therapy plan Typical Low $28.84 Median $70.79 Typical High $91.20 | Professional | GO · Occupational therapy plan | $28.84 | $70.79 | $91.20 |
Where Michigan 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.
Michigan· 38th of 51
$24.55
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.