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 $19.95 Median $42.66 Typical High $104.71 | Facility | Global | $19.95 | $42.66 | $104.71 |
Aetna Setting Facility Modifier CO · OT assistant Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | CO · OT assistant | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier CQ · PT assistant Typical Low $22.91 Median $95.50 Typical High $891.25 | Facility | CQ · PT assistant | $22.91 | $95.50 | $891.25 |
Aetna Setting Professional Modifier Global Typical Low $17.38 Median $24.55 Typical High $60.26 | Professional | Global | $17.38 | $24.55 | $60.26 |
Aetna Setting Professional Modifier CQ · PT assistant Typical Low $23.44 Median $24.55 Typical High $56.23 | Professional | CQ · PT assistant | $23.44 | $24.55 | $56.23 |
AmeriHealth Setting Facility Modifier Global Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | Global | $70.79 | $70.79 | $70.79 |
AmeriHealth Setting Professional Modifier Global Typical Low $13.18 Median $13.18 Typical High $38.90 | Professional | Global | $13.18 | $13.18 | $38.90 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | Global | $25.70 | $30.20 | $38.02 |
Cigna Setting Facility Modifier Global Typical Low $47.86 Median $75.86 Typical High $125.89 | Facility | Global | $47.86 | $75.86 | $125.89 |
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 $16.60 Median $28.84 Typical High $52.48 | Professional | Global | $16.60 | $28.84 | $52.48 |
Emblem Health Setting Professional Modifier Global Typical Low $34.67 Median $39.81 Typical High $81.28 | Professional | Global | $34.67 | $39.81 | $81.28 |
Geisinger Setting Professional Modifier Global Typical Low $28.18 Median $36.31 Typical High $61.66 | Professional | Global | $28.18 | $36.31 | $61.66 |
Highmark BCBS Setting Facility Modifier Global Typical Low $29.51 Median $53.70 Typical High $83.18 | Facility | Global | $29.51 | $53.70 | $83.18 |
Highmark BCBS Setting Facility Modifier CO · OT assistant Typical Low $39.81 Median $44.67 Typical High $120.23 | Facility | CO · OT assistant | $39.81 | $44.67 | $120.23 |
Highmark BCBS Setting Facility Modifier CQ · PT assistant Typical Low $40.74 Median $51.29 Typical High $91.20 | Facility | CQ · PT assistant | $40.74 | $51.29 | $91.20 |
Highmark BCBS Setting Professional Modifier Global Typical Low $23.44 Median $24.55 Typical High $26.92 | Professional | Global | $23.44 | $24.55 | $26.92 |
Highmark BCBS Setting Professional Modifier CQ · PT assistant Typical Low $24.55 Median $26.30 Typical High $39.81 | Professional | CQ · PT assistant | $24.55 | $26.30 | $39.81 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $13.18 Median $17.78 Typical High $38.90 | Professional | Global | $13.18 | $17.78 | $38.90 |
Martin's Point Setting Facility Modifier Global Typical Low $20.42 Median $39.81 Typical High $100.00 | Facility | Global | $20.42 | $39.81 | $100.00 |
Martin's Point Setting Facility Modifier CO · OT assistant Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | CO · OT assistant | $141.25 | $141.25 | $141.25 |
Martin's Point Setting Facility Modifier CQ · PT assistant Typical Low $47.86 Median $91.20 Typical High $707.95 | Facility | CQ · PT assistant | $47.86 | $91.20 | $707.95 |
Martin's Point Setting Professional Modifier Global Typical Low $16.22 Median $22.91 Typical High $50.12 | Professional | Global | $16.22 | $22.91 | $50.12 |
Martin's Point Setting Professional Modifier CQ · PT assistant Typical Low $23.44 Median $47.86 Typical High $724.44 | Professional | CQ · PT assistant | $23.44 | $47.86 | $724.44 |
Oscar Health Setting Facility Modifier Global Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | Global | $63.10 | $63.10 | $63.10 |
Oscar Health Setting Professional Modifier Global Typical Low $28.84 Median $28.84 Typical High $47.86 | Professional | Global | $28.84 | $28.84 | $47.86 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $38.90 Median $74.13 Typical High $134.90 | Facility | Global | $38.90 | $74.13 | $134.90 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $26.30 Median $28.84 Typical High $30.20 | Professional | Global | $26.30 | $28.84 | $30.20 |
United Setting Facility Modifier Global Typical Low $28.84 Median $31.62 Typical High $31.62 | Facility | Global | $28.84 | $31.62 | $31.62 |
United Setting Professional Modifier Global Typical Low $23.99 Median $30.20 Typical High $56.23 | Professional | Global | $23.99 | $30.20 | $56.23 |
Where Pennsylvania 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.
Pennsylvania· 31st of 51
$26.92
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.