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 $28.18 Median $28.18 Typical High $36.31 | Facility | None | $28.18 | $28.18 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $75.86 | Facility | None | $40.74 | $57.54 | $75.86 |
BCBS Michigan Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | None | $35.48 | $37.15 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $66.07 | Facility | None | $15.14 | $15.14 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $85.11 | Professional | None | $28.18 | $34.67 | $85.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $28.18 Median $63.10 Typical High $117.49 | Facility | None | $28.18 | $63.10 | $117.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | None | $27.54 | $27.54 | $48.98 |
Priority Health Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $77.62 | Professional | None | $26.30 | $34.67 | $77.62 |
United Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $40.74 | Facility | None | $29.51 | $37.15 | $40.74 |
United Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $41.69 | Professional | None | $32.36 | $34.67 | $41.69 |
3 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 GP · Physical therapy plan Typical Low $21.38 Median $28.18 Typical High $30.90 | Professional | GP · Physical therapy plan | $21.38 | $28.18 | $30.90 |
Health Alliance Plan Setting Facility Modifier GP · Physical therapy plan Typical Low $51.29 Median $67.61 Typical High $97.72 | Facility | GP · Physical therapy plan | $51.29 | $67.61 | $97.72 |
Health Alliance Plan Setting Professional Modifier GP · Physical therapy plan Typical Low $39.81 Median $42.66 Typical High $190.55 | Professional | GP · Physical therapy plan | $39.81 | $42.66 | $190.55 |
Where Michigan 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.
Michigan· 42nd of 51
$30.20
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.