How much rates vary
Facilitymedian $79 · 10th to 90th $23 to $145Professionalmedian $26 · 10th to 90th $16 to $79
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 $14.45 Median $34.67 Typical High $128.82 | Facility | None | $14.45 | $34.67 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $34.67 | Professional | None | $14.45 | $17.78 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $75.86 Typical High $79.43 | Professional | None | $22.39 | $75.86 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $38.02 Median $79.43 Typical High $131.83 | Facility | None | $38.02 | $79.43 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $28.18 | Professional | None | $16.60 | $23.44 | $28.18 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $42.66 | Professional | None | $15.49 | $34.67 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $316.23 Typical High $316.23 | Facility | None | $22.39 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $50.12 | Professional | None | $18.20 | $22.91 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $45.71 | Professional | None | $10.23 | $15.49 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $58.88 | Professional | None | $25.12 | $33.11 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | None | $190.55 | $190.55 | $251.19 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $70.79 | Professional | None | $11.22 | $14.45 | $70.79 |
Optum Setting Professional Modifier None Typical Low $10.96 Median $54.95 Typical High $70.79 | Professional | None | $10.96 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $17.78 Median $26.30 Typical High $52.48 | Facility | None | $17.78 | $26.30 | $52.48 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $46.77 | Professional | None | $18.20 | $22.91 | $46.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $97.72 | Professional | None | $10.96 | $10.96 | $97.72 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $48.98 | Professional | None | $20.42 | $30.20 | $48.98 |
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 GO · Occupational therapy plan Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | GO · Occupational therapy plan | $26.92 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | GP · Physical therapy plan | $25.12 | $26.92 | $26.92 |
HealthNet Setting Professional Modifier GP · Physical therapy plan Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | GP · Physical therapy plan | $112.20 | $112.20 | $112.20 |
Where California sits
The same service costs 3.6 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.
California· 31st of 51
$25.70
AK $57.54OH $15.85
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.