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 $11.75 Median $13.18 Typical High $281.84 | Facility | None | $11.75 | $13.18 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | None | $11.75 | $11.75 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $5.01 Typical High $30.20 | Professional | None | $3.80 | $5.01 | $30.20 |
CareSource 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 Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $30.90 | Professional | None | $8.32 | $10.47 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $34.67 | Professional | None | $16.98 | $18.20 | $34.67 |
United Setting Professional Modifier None Typical Low $14.13 Median $34.67 Typical High $60.26 | Professional | None | $14.13 | $34.67 | $60.26 |
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 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 |
Where Georgia 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.
Georgia· 47th of 51
$9.77
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.