How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $15.49 Median $85.11 Typical High $316.23 | Facility | Global | $15.49 | $85.11 | $316.23 |
Aetna Setting Facility Modifier CO · OT assistant Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | CO · OT assistant | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier CQ · PT assistant Typical Low $69.18 Median $93.33 Typical High $758.58 | Facility | CQ · PT assistant | $69.18 | $93.33 | $758.58 |
Aetna Setting Professional Modifier Global Typical Low $16.22 Median $25.70 Typical High $107.15 | Professional | Global | $16.22 | $25.70 | $107.15 |
Aetna Setting Professional Modifier CO · OT assistant Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | CO · OT assistant | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier CQ · PT assistant Typical Low $22.39 Median $29.51 Typical High $151.36 | Professional | CQ · PT assistant | $22.39 | $29.51 | $151.36 |
Ambetter Setting Professional Modifier Global Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | Global | $23.44 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | CQ · PT assistant | $23.44 | $23.44 | $23.44 |
Anthem BCBS Setting Professional Modifier Global Typical Low $21.38 Median $50.12 Typical High $85.11 | Professional | Global | $21.38 | $50.12 | $85.11 |
CDPHP Setting Facility Modifier Global Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | Global | $60.26 | $60.26 | $60.26 |
CDPHP Setting Professional Modifier Global Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | Global | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier Global Typical Low $47.86 Median $79.43 Typical High $346.74 | Facility | Global | $47.86 | $79.43 | $346.74 |
Cigna Setting Facility Modifier CO · OT assistant Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | CO · OT assistant | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier CQ · PT assistant Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | CQ · PT assistant | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier Global Typical Low $16.98 Median $31.62 Typical High $102.33 | Professional | Global | $16.98 | $31.62 | $102.33 |
Emblem Health Setting Facility Modifier Global Typical Low $26.92 Median $39.81 Typical High $112.20 | Facility | Global | $26.92 | $39.81 | $112.20 |
Emblem Health Setting Professional Modifier Global Typical Low $22.91 Median $39.81 Typical High $81.28 | Professional | Global | $22.91 | $39.81 | $81.28 |
Excellus BCBS Setting Facility Modifier Global Typical Low $28.18 Median $34.67 Typical High $38.90 | Facility | Global | $28.18 | $34.67 | $38.90 |
Excellus BCBS Setting Professional Modifier Global Typical Low $24.55 Median $35.48 Typical High $63.10 | Professional | Global | $24.55 | $35.48 | $63.10 |
Highmark BCBS Setting Facility Modifier Global Typical Low $10.96 Median $83.18 Typical High $102.33 | Facility | Global | $10.96 | $83.18 | $102.33 |
Highmark BCBS Setting Facility Modifier CQ · PT assistant Typical Low $22.39 Median $23.44 Typical High $29.51 | Facility | CQ · PT assistant | $22.39 | $23.44 | $29.51 |
Highmark BCBS Setting Professional Modifier Global Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | Global | $24.55 | $24.55 | $47.86 |
Highmark BCBS Setting Professional Modifier CQ · PT assistant Typical Low $4.27 Median $25.12 Typical High $25.12 | Professional | CQ · PT assistant | $4.27 | $25.12 | $25.12 |
MVP Health Care Setting Facility Modifier Global Typical Low $19.95 Median $50,118.72 Typical High $75,857.76 | Facility | Global | $19.95 | $50,118.72 | $75,857.76 |
MVP Health Care Setting Professional Modifier Global Typical Low $28.84 Median $39.81 Typical High $69.18 | Professional | Global | $28.84 | $39.81 | $69.18 |
United Setting Facility Modifier Global Typical Low $28.84 Median $33.11 Typical High $131.83 | Facility | Global | $28.84 | $33.11 | $131.83 |
United Setting Professional Modifier Global Typical Low $28.18 Median $44.67 Typical High $85.11 | Professional | Global | $28.18 | $44.67 | $85.11 |
Univera Setting Facility Modifier Global Typical Low $22.39 Median $32.36 Typical High $302.00 | Facility | Global | $22.39 | $32.36 | $302.00 |
Univera Setting Professional Modifier Global Typical Low $23.99 Median $32.36 Typical High $75.86 | Professional | Global | $23.99 | $32.36 | $75.86 |
Where New York sits
The same service costs 2.6 times more in Wisconsin than in Delaware. 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.
New York· 10th of 51
$33.11
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.