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 $23.99 Median $23.99 Typical High $37.15 | Facility | None | $23.99 | $23.99 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $26.30 | Professional | None | $20.89 | $23.99 | $26.30 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | GO · Occupational therapy plan | $36.31 | $36.31 | $45.71 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | GP · Physical therapy plan | $36.31 | $36.31 | $45.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $39.81 | Facility | None | $28.18 | $28.18 | $39.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $35.48 | Professional | None | $11.48 | $16.98 | $35.48 |
Qualchoice Setting Professional Modifier GO · Occupational therapy plan Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | GO · Occupational therapy plan | $38.90 | $41.69 | $41.69 |
Qualchoice Setting Professional Modifier GP · Physical therapy plan Typical Low $37.15 Median $41.69 Typical High $52.48 | Professional | GP · Physical therapy plan | $37.15 | $41.69 | $52.48 |
United Setting Facility Modifier None Typical Low $25.12 Median $27.54 Typical High $27.54 | Facility | None | $25.12 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $33.88 | Professional | None | $22.91 | $26.30 | $33.88 |
4 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 59 · Distinct service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 59 · Distinct service | $45.71 | $45.71 | $45.71 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | CQ · PT assistant | $32.36 | $32.36 | $34.67 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 59 · Distinct service | $53.70 | $53.70 | $53.70 |
Qualchoice Setting Professional Modifier CQ · PT assistant Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | CQ · PT assistant | $39.81 | $39.81 | $39.81 |
Where Arkansas sits
The same service costs 3.0 times more in Minnesota than in Ohio. 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.
Arkansas· 6th of 51
$36.31
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.