How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $25.70 Median $54.95 Typical High $177.83 | Facility | None | $25.70 | $54.95 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $27.54 | Professional | None | $21.38 | $25.70 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $20.89 Median $23.44 Typical High $23.44 | Professional | GP · Physical therapy plan | $20.89 | $23.44 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $34.67 Typical High $70.79 | Professional | None | $19.05 | $34.67 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $28.84 | Professional | None | $15.85 | $19.95 | $28.84 |
Hometown Health Setting Professional Modifier None Typical Low $0.25 Median $29.51 Typical High $43.65 | Professional | None | $0.25 | $29.51 | $43.65 |
Hometown Health Setting Professional Modifier None Typical Low $0.25 Median $0.25 Typical High $43.65 | Professional | None | $0.25 | $0.25 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $4,265.80 | Facility | None | $28.84 | $28.84 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $28.84 | Professional | None | $19.95 | $26.30 | $28.84 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $35.48 | Professional | None | $19.95 | $28.84 | $35.48 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | GO · Occupational therapy plan | $20.89 | $20.89 | $28.84 |
Where Nevada 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.
Nevada· 28th of 51
$27.54
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.