How much rates vary
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 $27.54 Median $29.51 Typical High $40.74 | Facility | None | $27.54 | $29.51 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $29.51 | Professional | None | $21.38 | $27.54 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $51.29 | Facility | None | $29.51 | $34.67 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $33.88 | Professional | None | $19.95 | $25.70 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $38.90 Typical High $47.86 | Facility | None | $28.84 | $38.90 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $47.86 | Professional | None | $33.88 | $36.31 | $47.86 |
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 $17.38 Median $29.51 Typical High $177.83 | Professional | None | $17.38 | $29.51 | $177.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $37.15 | Professional | None | $23.99 | $31.62 | $37.15 |
1 more rate 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 GP · Physical therapy plan Typical Low $21.38 Median $28.18 Typical High $46.77 | Professional | GP · Physical therapy plan | $21.38 | $28.18 | $46.77 |
Where Kentucky 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.
Kentucky· 49th of 51
$25.70
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.