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 $11.75 Median $22.91 Typical High $37.15 | Facility | None | $11.75 | $22.91 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
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 $18.20 Median $19.05 Typical High $19.05 | Professional | None | $18.20 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $89.13 | Professional | None | $12.59 | $12.59 | $89.13 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $81.28 | Professional | None | $34.67 | $34.67 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $51.29 | Professional | None | $15.85 | $21.38 | $51.29 |
Martin's Point Setting Facility Modifier None Typical Low $11.75 Median $30.90 Typical High $37.15 | Facility | None | $11.75 | $30.90 | $37.15 |
Martin's Point Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | None | $11.75 | $11.75 | $12.02 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $63.10 Typical High $141.25 | Professional | None | $19.95 | $63.10 | $141.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.78 Median $56.23 Typical High $97.72 | Facility | None | $17.78 | $56.23 | $97.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | None | $17.78 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $20.89 Median $54.95 Typical High $67.61 | Professional | None | $20.89 | $54.95 | $67.61 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | GP · Physical therapy plan | $70.79 | $70.79 | $70.79 |
Highmark BCBS Setting Professional Modifier GO · Occupational therapy plan Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | GO · Occupational therapy plan | $20.42 | $20.42 | $20.42 |
Where Pennsylvania 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.
Pennsylvania· 13th 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.