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 $26.30 Median $34.67 Typical High $42.66 | Facility | None | $26.30 | $34.67 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $34.67 | Professional | None | $25.12 | $26.30 | $34.67 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.89 Median $40.74 Typical High $57.54 | Facility | None | $20.89 | $40.74 | $57.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $234.42 | Professional | None | $27.54 | $28.84 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | None | $24.55 | $24.55 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $63.10 | Professional | None | $21.88 | $34.67 | $63.10 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $18.62 | Professional | None | $16.98 | $18.20 | $18.62 |
Pacific Source Setting Facility Modifier None Typical Low $31.62 Median $53.70 Typical High $53.70 | Facility | None | $31.62 | $53.70 | $53.70 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $53.70 Typical High $74.13 | Facility | None | $34.67 | $53.70 | $74.13 |
Premera BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $57.54 | Facility | None | $38.02 | $42.66 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | None | $27.54 | $27.54 | $31.62 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $67.61 | Professional | None | $25.70 | $28.84 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $58.88 | Professional | None | $28.84 | $31.62 | $58.88 |
3 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 $22.91 Median $22.91 Typical High $22.91 | Professional | 59 · Distinct service | $22.91 | $22.91 | $22.91 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $22.91 Median $22.91 Typical High $45.71 | Professional | GO · Occupational therapy plan | $22.91 | $22.91 | $45.71 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $22.39 Median $28.84 Typical High $53.70 | Professional | GP · Physical therapy plan | $22.39 | $28.84 | $53.70 |
Where Washington 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.
Washington· 22nd of 51
$27.54
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.