How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Typical High $162.18 | Facility | None | $23.99 | $50.12 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $26.30 | Professional | None | $19.95 | $23.99 | $26.30 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | GP · Physical therapy plan | $19.95 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $70.79 | Professional | None | $19.95 | $32.36 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $26.92 | Professional | None | $14.79 | $21.38 | $26.92 |
Hometown Health Setting Professional Modifier None Typical Low $0.30 Median $27.54 Typical High $41.69 | Professional | None | $0.30 | $27.54 | $41.69 |
Hometown Health Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $41.69 | Professional | None | $0.30 | $0.30 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $4,265.80 | Facility | None | $27.54 | $27.54 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $27.54 | Professional | None | $18.62 | $25.12 | $27.54 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $33.11 | Professional | None | $22.39 | $28.18 | $33.11 |
2 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 $22.39 Median $22.39 Typical High $22.39 | Professional | 59 · Distinct service | $22.39 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | GO · Occupational therapy plan | $19.95 | $19.95 | $25.12 |
Where Nevada 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.
Nevada· 30th of 51
$25.12
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.