How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $23.44 Median $23.44 Typical High $61.66 | Facility | None | $23.44 | $23.44 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | None | $23.44 | $23.44 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $66.07 | Professional | None | $21.88 | $26.30 | $66.07 |
United Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $54.95 | Professional | None | $29.51 | $32.36 | $54.95 |
2 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier CQ · PT assistant Typical Low $56.23 Median $56.23 Typical High $57.54 | Facility | CQ · PT assistant | $56.23 | $56.23 | $57.54 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | GP · Physical therapy plan | $30.90 | $30.90 | $30.90 |
Where Delaware sits
The same service costs 3.0 times more in Alaska 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.
Delaware· 50th of 51
$25.12
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.