How much rates vary
Facilitymedian $34 · 10th to 90th $21 to $76Professionalmedian $22 · 10th to 90th $20 to $35
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 $21.38 Median $21.38 Typical High $27.54 | Facility | None | $21.38 | $21.38 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $22.91 | Professional | None | $21.38 | $21.38 | $22.91 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $23.44 Median $23.99 Typical High $39.81 | Professional | GP · Physical therapy plan | $23.44 | $23.99 | $39.81 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $57.54 | Facility | None | $30.90 | $43.65 | $57.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | None | $26.30 | $27.54 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $46.77 | Facility | None | $15.14 | $15.14 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $63.10 | Professional | None | $20.89 | $25.70 | $63.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $21.38 Median $29.51 Typical High $93.33 | Facility | None | $21.38 | $29.51 | $93.33 |
Health Alliance Plan Setting Facility Modifier GP · Physical therapy plan Typical Low $31.62 Median $75.86 Typical High $100.00 | Facility | GP · Physical therapy plan | $31.62 | $75.86 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $36.31 | Professional | None | $20.42 | $21.38 | $36.31 |
Health Alliance Plan Setting Professional Modifier GP · Physical therapy plan Typical Low $20.42 Median $47.86 Typical High $77.62 | Professional | GP · Physical therapy plan | $20.42 | $47.86 | $77.62 |
Priority Health Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $57.54 | Professional | None | $19.05 | $24.55 | $57.54 |
United Setting Facility Modifier None Typical Low $22.39 Median $27.54 Typical High $30.20 | Facility | None | $22.39 | $27.54 | $30.20 |
United Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $29.51 | Professional | None | $24.55 | $25.12 | $29.51 |
6 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 GO · Occupational therapy plan Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | GO · Occupational therapy plan | $24.55 | $26.92 | $26.92 |
Health Alliance Plan Setting Facility Modifier CQ · PT assistant Typical Low $52.48 Median $100.00 Typical High $891.25 | Facility | CQ · PT assistant | $52.48 | $100.00 | $891.25 |
Health Alliance Plan Setting Facility Modifier GO · Occupational therapy plan Typical Low $37.15 Median $85.11 Typical High $97.72 | Facility | GO · Occupational therapy plan | $37.15 | $85.11 | $97.72 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $16.60 Median $22.91 Typical High $60.26 | Professional | 59 · Distinct service | $16.60 | $22.91 | $60.26 |
Health Alliance Plan Setting Professional Modifier CQ · PT assistant Typical Low $18.20 Median $21.38 Typical High $89.13 | Professional | CQ · PT assistant | $18.20 | $21.38 | $89.13 |
Health Alliance Plan Setting Professional Modifier GO · Occupational therapy plan Typical Low $19.95 Median $54.95 Typical High $81.28 | Professional | GO · Occupational therapy plan | $19.95 | $54.95 | $81.28 |
Where Michigan 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.
Michigan· 39th of 51
$22.91
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.