How much rates vary
Facilitymedian $78 · 10th to 90th $21 to $151Professionalmedian $29 · 10th to 90th $14 to $79
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 $12.88 Median $26.30 Typical High $131.83 | Facility | None | $12.88 | $26.30 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $33.11 | Professional | None | $12.88 | $20.42 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $75.86 Typical High $79.43 | Professional | None | $23.99 | $75.86 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $38.90 Median $85.11 Typical High $141.25 | Facility | None | $38.90 | $85.11 | $141.25 |
Blue Shield Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $34.67 | Professional | None | $20.42 | $29.51 | $34.67 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $53.70 | Professional | None | $31.62 | $38.02 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $316.23 Typical High $316.23 | Facility | None | $19.50 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $46.77 | Professional | None | $20.42 | $26.30 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.39 Median $33.88 Typical High $40.74 | Professional | None | $22.39 | $33.88 | $40.74 |
HealthNet Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $57.54 | Professional | None | $22.91 | $30.90 | $57.54 |
Lucent Health Setting Professional Modifier None Typical Low $33.88 Median $169.82 Typical High $234.42 | Professional | None | $33.88 | $169.82 | $234.42 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $70.79 | Professional | None | $24.55 | $30.90 | $70.79 |
Optum Setting Professional Modifier None Typical Low $10.96 Median $54.95 Typical High $70.79 | Professional | None | $10.96 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $57.54 | Facility | None | $20.42 | $30.20 | $57.54 |
Providence Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $46.77 | Professional | None | $20.42 | $25.70 | $46.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $93.33 | Professional | None | $10.96 | $10.96 | $93.33 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $44.67 | Professional | None | $22.91 | $28.84 | $44.67 |
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 $22.91 Median $22.91 Typical High $23.44 | Professional | 59 · Distinct service | $22.91 | $22.91 | $23.44 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | GO · Occupational therapy plan | $24.55 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $22.91 Median $24.55 Typical High $28.84 | Professional | GP · Physical therapy plan | $22.91 | $24.55 | $28.84 |
HealthNet Setting Professional Modifier GP · Physical therapy plan Typical Low $79.43 Median $117.49 Typical High $138.04 | Professional | GP · Physical therapy plan | $79.43 | $117.49 | $138.04 |
Where California 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.
California· 20th of 51
$28.84
MN $53.70OH $17.78
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.