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 $29.51 Median $57.54 Typical High $165.96 | Facility | None | $29.51 | $57.54 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | None | $27.54 | $27.54 | $51.29 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.05 Median $21.38 Typical High $39.81 | Professional | GP · Physical therapy plan | $19.05 | $21.38 | $39.81 |
BCBS Nebraska Setting Facility Modifier None Typical Low $67.61 Median $72.44 Typical High $316.23 | Facility | None | $67.61 | $72.44 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $57.54 | Professional | None | $39.81 | $46.77 | $57.54 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $100.00 Typical High $138.04 | Facility | None | $58.88 | $100.00 | $138.04 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $38.02 Typical High $169.82 | Professional | None | $19.50 | $38.02 | $169.82 |
Midlands Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $70.79 | Professional | None | $35.48 | $46.77 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $63.10 | Professional | None | $40.74 | $56.23 | $63.10 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $25.12 | Facility | None | $22.39 | $22.39 | $25.12 |
United Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $70.79 | Professional | None | $20.89 | $24.55 | $70.79 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | 59 · Distinct service | $21.38 | $21.38 | $21.38 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | CQ · PT assistant | $19.05 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $19.05 Median $21.38 Typical High $60.26 | Professional | GO · Occupational therapy plan | $19.05 | $21.38 | $60.26 |
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | GY · Excluded by law | $21.38 | $21.38 | $21.38 |
Where Nebraska 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.
Nebraska· 4th of 51
$39.81
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.