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 $18.62 Median $79.43 Typical High $407.38 | Facility | None | $18.62 | $79.43 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $26.30 | Professional | None | $14.13 | $18.62 | $26.30 |
BCBS Texas Setting Facility Modifier None Typical Low $31.62 Median $77.62 Typical High $154.88 | Facility | None | $31.62 | $77.62 | $154.88 |
BCBS Texas Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | None | $22.39 | $25.12 | $25.12 |
Christus Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $29.51 | Professional | None | $14.45 | $20.89 | $29.51 |
Health Smart Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $44.67 | Professional | None | $26.92 | $34.67 | $44.67 |
Lucent Health Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $251.19 | Professional | None | $97.72 | $190.55 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $17.38 Median $27.54 Typical High $154.88 | Facility | None | $17.38 | $27.54 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $26.30 | Professional | None | $14.13 | $18.62 | $26.30 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $28.18 Typical High $34.67 | Professional | None | $5.13 | $28.18 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $109.65 | Professional | None | $28.18 | $40.74 | $109.65 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $28.18 Typical High $34.67 | Facility | None | $14.13 | $28.18 | $34.67 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $28.18 | Professional | None | $14.45 | $20.89 | $28.18 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $32.36 | Facility | None | $23.99 | $23.99 | $32.36 |
United Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $27.54 | Professional | None | $19.95 | $24.55 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $16.98 Median $19.95 Typical High $22.91 | Professional | GP · Physical therapy plan | $16.98 | $19.95 | $22.91 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $19.95 Median $56.23 Typical High $114.82 | Facility | GP · Physical therapy plan | $19.95 | $56.23 | $114.82 |
Where Texas 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.
Texas· 30th 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.