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 Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | None | $16.98 | $16.98 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $100.00 | Facility | None | $30.20 | $30.20 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $28.84 | Professional | None | $14.13 | $14.13 | $28.84 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | GP · Physical therapy plan | $15.49 | $15.49 | $15.49 |
Where West Virginia 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.
West Virginia· 25th of 51
$15.85
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.