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 $18.20 Median $20.89 Typical High $93.33 | Facility | None | $18.20 | $20.89 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $47.86 | Professional | None | $18.20 | $19.50 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $38.02 | Professional | None | $20.89 | $26.92 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $63.10 | Facility | None | $28.18 | $28.18 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $50.12 | Professional | None | $13.80 | $18.62 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $50.12 | Professional | None | $25.12 | $28.18 | $50.12 |
Oscar Health Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $38.90 | Professional | None | $33.88 | $36.31 | $38.90 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $41.69 | Professional | None | $20.89 | $28.84 | $41.69 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | 59 · Distinct service | $23.44 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $19.05 Median $23.44 Typical High $36.31 | Professional | GO · Occupational therapy plan | $19.05 | $23.44 | $36.31 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.05 Median $22.39 Typical High $45.71 | Professional | GP · Physical therapy plan | $19.05 | $22.39 | $45.71 |
Anthem BCBS Setting Professional Modifier 59 · Distinct service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $24.55 | $24.55 | $24.55 |
Where Georgia 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.
Georgia· 23rd of 51
$26.92
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.