How much rates vary
Facilitymedian $35 · 10th to 90th $15 to $269Professionalmedian $23 · 10th to 90th $19 to $76
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 $15.49 Median $35.48 Typical High $338.84 | Facility | None | $15.49 | $35.48 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $30.90 | Professional | None | $15.49 | $19.50 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $85.11 | Professional | None | $20.42 | $23.99 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $204.17 | Facility | None | $47.86 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $74.13 | Professional | None | $16.22 | $22.91 | $74.13 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $37.15 Typical High $120.23 | Facility | None | $26.92 | $37.15 | $120.23 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | None | $33.88 | $33.88 | $43.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $52.48 | Professional | None | $20.42 | $28.18 | $52.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.77 Median $87.10 Typical High $109.65 | Facility | None | $9.77 | $87.10 | $109.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
MVP Health Care Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $38.02 | Professional | None | $19.95 | $19.95 | $38.02 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $38.02 | Facility | None | $28.84 | $28.84 | $38.02 |
United Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $33.88 | Professional | None | $15.85 | $21.88 | $33.88 |
Univera Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $102.33 | Facility | None | $15.85 | $34.67 | $102.33 |
Univera Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $39.81 | Professional | None | $16.98 | $28.18 | $39.81 |
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 GP · Physical therapy plan Typical Low $19.95 Median $23.44 Typical High $28.18 | Professional | GP · Physical therapy plan | $19.95 | $23.44 | $28.18 |
Fidelis Setting Professional Modifier GO · Occupational therapy plan Typical Low $25.70 Median $25.70 Typical High $31.62 | Professional | GO · Occupational therapy plan | $25.70 | $25.70 | $31.62 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $20.89 Median $54.95 Typical High $154.88 | Facility | GO · Occupational therapy plan | $20.89 | $54.95 | $154.88 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $13.49 Median $33.11 Typical High $134.90 | Facility | GP · Physical therapy plan | $13.49 | $33.11 | $134.90 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $24.55 Median $24.55 Typical High $54.95 | Professional | GP · Physical therapy plan | $24.55 | $24.55 | $54.95 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $15.49 | $19.05 | $21.88 |
Where New York 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.
New York· 43rd of 51
$23.44
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.