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 $14.79 Median $162.18 Typical High $338.84 | Facility | None | $14.79 | $162.18 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $14.13 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $13.49 | Professional | None (both parts) | $12.02 | $12.02 | $13.49 |
Florida Blue Setting Facility Modifier None Typical Low $7.08 Median $13.80 Typical High $13.80 | Facility | None | $7.08 | $13.80 | $13.80 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $9.33 Median $12.59 Typical High $13.18 | Professional | None (both parts) | $9.33 | $12.59 | $13.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | None (both parts) | $39.81 | $39.81 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $34.67 | $39.81 | $60.26 |
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 $14.79 Median $14.79 Typical High $14.79 | Professional | GP · Physical therapy plan | $14.79 | $14.79 | $14.79 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Where Florida sits
The same service costs 7.6 times more in North Dakota than in Virginia. 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.
Florida· 35th of 51
$14.79
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.