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 $66.07 Median $72.44 Typical High $213.80 | Facility | None | $66.07 | $72.44 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $128.82 | Professional | None | $66.07 | $70.79 | $128.82 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $58.88 Median $79.43 Typical High $147.91 | Professional | GP · Physical therapy plan | $58.88 | $79.43 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $125.89 | Professional | None | $69.18 | $89.13 | $125.89 |
Anthem BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | GP · Physical therapy plan | $69.18 | $69.18 | $87.10 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $223.87 | Facility | None | $97.72 | $97.72 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $162.18 | Professional | None | $41.69 | $67.61 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $275.42 | Professional | None | $89.13 | $109.65 | $275.42 |
Oscar Health Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $794.33 | Facility | None | $251.19 | $316.23 | $794.33 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $141.25 | Professional | None | $120.23 | $131.83 | $141.25 |
United Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $154.88 | Professional | None | $67.61 | $87.10 | $154.88 |
1 more rate 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $33.11 | $38.90 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in Florida. 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.
Georgia· 25th of 51
$87.10
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.