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 $19.50 Median $28.84 Typical High $38.02 | Facility | None | $19.50 | $28.84 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $21.38 | Professional | None | $18.62 | $20.42 | $21.38 |
AmeriHealth Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $28.84 | Professional | None | $17.38 | $17.38 | $28.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $72.44 | Facility | None | $43.65 | $43.65 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $144.54 | Professional | None | $20.42 | $23.99 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $81.28 | Professional | None | $34.67 | $40.74 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $51.29 | Professional | None | $25.12 | $30.90 | $51.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $57.54 Median $79.43 Typical High $123.03 | Facility | None | $57.54 | $79.43 | $123.03 |
Independence Blue Cross Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $28.84 | Professional | None | $17.38 | $17.38 | $28.84 |
Martin's Point Setting Facility Modifier None Typical Low $19.50 Median $30.20 Typical High $38.02 | Facility | None | $19.50 | $30.20 | $38.02 |
Martin's Point Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $20.42 | Professional | None | $18.62 | $20.42 | $20.42 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $47.86 Typical High $89.13 | Professional | None | $25.12 | $47.86 | $89.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $21.88 Median $29.51 Typical High $93.33 | Facility | None | $21.88 | $29.51 | $93.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $29.51 | Professional | None | $21.88 | $21.88 | $29.51 |
United Setting Facility Modifier None Typical Low $29.51 Median $32.36 Typical High $32.36 | Facility | None | $29.51 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $33.88 | Professional | None | $20.42 | $25.70 | $33.88 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | GP · Physical therapy plan | $24.55 | $24.55 | $24.55 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $42.66 Median $66.07 Typical High $95.50 | Facility | GP · Physical therapy plan | $42.66 | $66.07 | $95.50 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service + GP · Physical therapy plan Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service + GP · Physical therapy plan | $22.91 | $24.55 | $24.55 |
Where Pennsylvania 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.
Pennsylvania· 40th of 51
$23.44
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.