How much rates vary
Facilitymedian $48 · 10th to 90th $25 to $151Professionalmedian $24 · 10th to 90th $14 to $186
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 $13.49 Median $21.38 Typical High $346.74 | Facility | None | $13.49 | $21.38 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.62 Typical High $32.36 | Professional | None (both parts) | $14.13 | $18.62 | $32.36 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.05 Median $22.91 Typical High $31.62 | Professional | GP · Physical therapy plan | $19.05 | $22.91 | $31.62 |
BCBS Setting Facility Modifier None Typical Low $33.88 Median $85.11 Typical High $165.96 | Facility | None | $33.88 | $85.11 | $165.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $21.38 | $23.99 | $23.99 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $28.18 | $31.62 | $46.77 |
Christus Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $20.89 Typical High $33.11 | Professional | None (both parts) | $14.13 | $20.89 | $33.11 |
Health Smart Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $95.50 | Facility | None | $41.69 | $95.50 | $95.50 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $26.30 | $34.67 | $53.70 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $34.67 | $186.21 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $14.13 Median $31.62 Typical High $154.88 | Facility | None | $14.13 | $31.62 | $154.88 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $35.48 Median $97.72 Typical High $199.53 | Facility | GP · Physical therapy plan | $35.48 | $97.72 | $199.53 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $22.39 Typical High $32.36 | Professional | None (both parts) | $14.13 | $22.39 | $32.36 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $18.62 Median $32.36 Typical High $58.88 | Professional | GP · Physical therapy plan | $18.62 | $32.36 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $26.92 | $29.51 | $37.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $107.15 | Professional | None (both parts) | $27.54 | $39.81 | $107.15 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $28.18 Typical High $40.74 | Facility | None | $14.13 | $28.18 | $40.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $14.13 Median $20.89 Typical High $31.62 | Professional | None (both parts) | $14.13 | $20.89 | $31.62 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $31.62 | Facility | None | $23.44 | $23.44 | $31.62 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.92 Typical High $30.90 | Professional | None (both parts) | $23.44 | $26.92 | $30.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
7 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 59 · Distinct service Typical Low $19.95 Median $31.62 Typical High $31.62 | Professional | 59 · Distinct service | $19.95 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $19.95 Median $22.91 Typical High $31.62 | Professional | GO · Occupational therapy plan | $19.95 | $22.91 | $31.62 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Moda Health Setting Facility Modifier CQ · PT assistant Typical Low $60.26 Median $97.72 Typical High $218.78 | Facility | CQ · PT assistant | $60.26 | $97.72 | $218.78 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $56.23 Median $102.33 Typical High $199.53 | Facility | GO · Occupational therapy plan | $56.23 | $102.33 | $199.53 |
Moda Health Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $35.48 Median $79.43 Typical High $398.11 | Facility | PN · Off-campus dept, non-excepted | $35.48 | $79.43 | $398.11 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $8.91 Median $31.62 Typical High $75.86 | Professional | GO · Occupational therapy plan | $8.91 | $31.62 | $75.86 |
Where Texas 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.
Texas· 40th of 51
$23.99
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.