How much rates vary
Facilitymedian $34 · 10th to 90th $14 to $257Professionalmedian $22 · 10th to 90th $18 to $71
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 $14.45 Median $34.67 Typical High $338.84 | Facility | None | $14.45 | $34.67 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $26.92 | Professional | None | $14.45 | $17.78 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $85.11 | Professional | None | $19.05 | $22.39 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $125.89 Typical High $204.17 | Facility | None | $45.71 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $72.44 | Professional | None | $19.05 | $28.18 | $72.44 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $114.82 | Facility | None | $26.92 | $34.67 | $114.82 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | None | $32.36 | $32.36 | $41.69 |
Excellus BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $48.98 | Professional | None | $19.05 | $26.92 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $117.49 | Facility | None | $104.71 | $109.65 | $117.49 |
Highmark BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | None | $43.65 | $43.65 | $44.67 |
MVP Health Care Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | None | $39.81 | $44.67 | $44.67 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $36.31 | Facility | None | $27.54 | $27.54 | $36.31 |
United Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $31.62 | Professional | None | $15.85 | $20.42 | $31.62 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $32.36 Typical High $100.00 | Facility | None | $15.14 | $32.36 | $100.00 |
Univera Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $39.81 | Professional | None | $15.85 | $26.92 | $39.81 |
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 GP · Physical therapy plan Typical Low $19.05 Median $21.88 Typical High $29.51 | Professional | GP · Physical therapy plan | $19.05 | $21.88 | $29.51 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 59 · Distinct service | $20.42 | $25.12 | $25.12 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $17.78 Median $39.81 Typical High $177.83 | Facility | GO · Occupational therapy plan | $17.78 | $39.81 | $177.83 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $12.30 Median $31.62 Typical High $147.91 | Facility | GP · Physical therapy plan | $12.30 | $31.62 | $147.91 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | GP · Physical therapy plan | $22.39 | $22.39 | $30.90 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $19.95 | Professional | 53 · Discontinued | $14.45 | $17.38 | $19.95 |
Where New York 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.
New York· 42nd of 51
$22.39
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.