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 $13.49 Median $25.70 Typical High $46.77 | Facility | None | $13.49 | $25.70 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | None | $13.49 | $13.49 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $25.12 | Professional | None | $16.98 | $19.05 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $31.62 | Professional | None | $19.50 | $22.91 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $43.65 | Professional | None | $19.05 | $21.88 | $43.65 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $120.23 | Facility | None | $35.48 | $66.07 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $43.65 | Professional | None | $19.05 | $22.91 | $43.65 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $46.77 | Professional | None | $23.99 | $30.20 | $46.77 |
SummaCare Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $22.91 | Professional | None | $18.62 | $20.42 | $22.91 |
United Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $21.88 | Facility | None | $15.85 | $17.78 | $21.88 |
United Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $25.12 | Professional | None | $17.78 | $21.38 | $25.12 |
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 GO · Occupational therapy plan Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | GO · Occupational therapy plan | $17.38 | $17.38 | $17.38 |
Where Ohio sits
The same service costs 3.3 times more in Alaska than in Delaware. 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.
Ohio· 38th of 51
$18.20
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.