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 $25.12 Median $40.74 Typical High $66.07 | Facility | None | $25.12 | $40.74 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $25.12 Typical High $39.81 | Professional | None | $15.14 | $25.12 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $58.88 | Professional | None | $28.84 | $29.51 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $69.18 | Professional | None | $28.18 | $28.18 | $69.18 |
Moda Health Setting Facility Modifier None Typical Low $25.12 Median $47.86 Typical High $74.13 | Facility | None | $25.12 | $47.86 | $74.13 |
Moda Health Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $54.95 | Professional | None | $20.89 | $30.90 | $54.95 |
Pacific Source Setting Facility Modifier None Typical Low $30.20 Median $53.70 Typical High $57.54 | Facility | None | $30.20 | $53.70 | $57.54 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $60.26 Typical High $77.62 | Facility | None | $26.30 | $60.26 | $77.62 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $45.71 Typical High $79.43 | Professional | None | $28.84 | $45.71 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $48.98 Median $72.44 Typical High $109.65 | Facility | None | $48.98 | $72.44 | $109.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $33.88 | Professional | None | $30.90 | $31.62 | $33.88 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Facility | None | $30.20 | $30.20 | $44.67 |
United Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $60.26 | Professional | None | $25.70 | $28.84 | $60.26 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $56.23 Median $89.13 Typical High $173.78 | Facility | GP · Physical therapy plan | $56.23 | $89.13 | $173.78 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $9.55 Median $21.88 Typical High $120.23 | Professional | 59 · Distinct service | $9.55 | $21.88 | $120.23 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $16.22 Median $28.18 Typical High $66.07 | Professional | GO · Occupational therapy plan | $16.22 | $28.18 | $66.07 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $16.60 Median $39.81 Typical High $74.13 | Professional | GP · Physical therapy plan | $16.60 | $39.81 | $74.13 |
Where Oregon 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.
Oregon· 13th of 51
$31.62
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.