How much rates vary
Facilitymedian $79 · 10th to 90th $32 to $132Professionalmedian $19 · 10th to 90th $17 to $36
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 $18.62 Median $39.81 Typical High $100.00 | Facility | None | $18.62 | $39.81 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.50 Typical High $66.07 | Professional | None (both parts) | $17.38 | $19.50 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.79 Median $19.50 Typical High $26.30 | Professional | None (both parts) | $14.79 | $19.50 | $26.30 |
Aultcare Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $56.23 | Professional | None (both parts) | $22.39 | $24.55 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $37.15 | Professional | None (both parts) | $27.54 | $28.84 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.70 Typical High $46.77 | Professional | None (both parts) | $23.99 | $25.70 | $46.77 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $53.70 Median $85.11 Typical High $134.90 | Facility | None | $53.70 | $85.11 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $18.62 Median $19.05 Typical High $39.81 | Professional | None (both parts) | $18.62 | $19.05 | $39.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $17.78 | $20.89 | $20.89 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $23.44 | $29.51 | $37.15 |
United Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $31.62 | Facility | None | $23.44 | $26.30 | $31.62 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.12 Typical High $32.36 | Professional | None (both parts) | $20.42 | $25.12 | $32.36 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | CQ · PT assistant | $19.05 | $19.05 | $23.44 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | GO · Occupational therapy plan | $22.39 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $16.60 Median $22.39 Typical High $22.91 | Professional | GP · Physical therapy plan | $16.60 | $22.39 | $22.91 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | XS · Separate structure | $22.39 | $22.39 | $22.39 |
Where Ohio 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.
Ohio· 51st of 51
$19.50
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.