How much rates vary
Facilitymedian $45 · 10th to 90th $20 to $170Professionalmedian $29 · 10th to 90th $19 to $30
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 $19.95 Median $39.81 Typical High $144.54 | Facility | None | $19.95 | $39.81 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $29.51 | Professional | None | $19.05 | $19.95 | $29.51 |
AmeriHealth Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
AmeriHealth Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $29.51 | Professional | None | $13.18 | $13.18 | $29.51 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | None | $28.84 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $89.13 | Facility | None | $61.66 | $61.66 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $141.25 | Professional | None | $19.95 | $23.99 | $141.25 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $81.28 | Professional | None | $34.67 | $39.81 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $61.66 | Professional | None | $28.18 | $33.88 | $61.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $85.11 | Facility | None | $29.51 | $51.29 | $85.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $26.30 | Professional | None | $22.39 | $24.55 | $26.30 |
Independence Blue Cross Setting Facility Modifier None Typical Low $41.69 Median $104.71 Typical High $229.09 | Facility | None | $41.69 | $104.71 | $229.09 |
Independence Blue Cross Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $37.15 | Professional | None | $13.18 | $13.18 | $37.15 |
Martin's Point Setting Facility Modifier None Typical Low $19.95 Median $42.66 Typical High $257.04 | Facility | None | $19.95 | $42.66 | $257.04 |
Martin's Point Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $27.54 | Professional | None | $19.05 | $19.95 | $27.54 |
Oscar Health Setting Professional Modifier None Typical Low $28.84 Median $60.26 Typical High $107.15 | Professional | None | $28.84 | $60.26 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $27.54 Median $70.79 Typical High $123.03 | Facility | None | $27.54 | $70.79 | $123.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | None | $27.54 | $27.54 | $28.84 |
United Setting Facility Modifier None Typical Low $28.84 Median $31.62 Typical High $31.62 | Facility | None | $28.84 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $36.31 | Professional | None | $24.55 | $27.54 | $36.31 |
14 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 Facility Modifier 59 · Distinct service Typical Low $20.89 Median $97.72 Typical High $263.03 | Facility | 59 · Distinct service | $20.89 | $97.72 | $263.03 |
Aetna Setting Facility Modifier CQ · PT assistant Typical Low $57.54 Median $91.20 Typical High $776.25 | Facility | CQ · PT assistant | $57.54 | $91.20 | $776.25 |
Aetna Setting Facility Modifier GO · Occupational therapy plan Typical Low $51.29 Median $95.50 Typical High $512.86 | Facility | GO · Occupational therapy plan | $51.29 | $95.50 | $512.86 |
Aetna Setting Facility Modifier GP · Physical therapy plan Typical Low $50.12 Median $95.50 Typical High $537.03 | Facility | GP · Physical therapy plan | $50.12 | $95.50 | $537.03 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $19.95 Median $19.95 Typical High $56.23 | Professional | GO · Occupational therapy plan | $19.95 | $19.95 | $56.23 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $21.38 Median $22.39 Typical High $23.44 | Professional | GP · Physical therapy plan | $21.38 | $22.39 | $23.44 |
Highmark BCBS Setting Facility Modifier CQ · PT assistant Typical Low $43.65 Median $48.98 Typical High $107.15 | Facility | CQ · PT assistant | $43.65 | $48.98 | $107.15 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $39.81 Median $61.66 Typical High $104.71 | Facility | GO · Occupational therapy plan | $39.81 | $61.66 | $104.71 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $32.36 Median $58.88 Typical High $102.33 | Facility | GP · Physical therapy plan | $32.36 | $58.88 | $102.33 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $22.91 Median $24.55 Typical High $33.11 | Professional | GP · Physical therapy plan | $22.91 | $24.55 | $33.11 |
Martin's Point Setting Facility Modifier 59 · Distinct service Typical Low $20.89 Median $97.72 Typical High $263.03 | Facility | 59 · Distinct service | $20.89 | $97.72 | $263.03 |
Martin's Point Setting Facility Modifier CQ · PT assistant Typical Low $57.54 Median $91.20 Typical High $776.25 | Facility | CQ · PT assistant | $57.54 | $91.20 | $776.25 |
Martin's Point Setting Facility Modifier GO · Occupational therapy plan Typical Low $51.29 Median $95.50 Typical High $512.86 | Facility | GO · Occupational therapy plan | $51.29 | $95.50 | $512.86 |
Martin's Point Setting Facility Modifier GP · Physical therapy plan Typical Low $50.12 Median $97.72 Typical High $537.03 | Facility | GP · Physical therapy plan | $50.12 | $97.72 | $537.03 |
Where Pennsylvania 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.
Pennsylvania· 23rd of 51
$28.84
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.