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 $91.20 Median $144.54 Typical High $239.88 | Facility | None | $91.20 | $144.54 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $112.20 | Professional | None | $64.57 | $91.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $194.98 | Professional | None | $102.33 | $102.33 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $275.42 | Professional | None | $162.18 | $218.78 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $147.91 Typical High $239.88 | Facility | None | $91.20 | $147.91 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $199.53 | Professional | None | $91.20 | $109.65 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $165.96 Typical High $199.53 | Facility | None | $97.72 | $165.96 | $199.53 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $134.90 Typical High $194.98 | Facility | None | $93.33 | $134.90 | $194.98 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $269.15 | Professional | None | $79.43 | $104.71 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $407.38 | Facility | None | $147.91 | $218.78 | $407.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $125.89 | Professional | None | $114.82 | $117.49 | $125.89 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $154.88 | Facility | None | $107.15 | $107.15 | $154.88 |
United Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $218.78 | Professional | None | $81.28 | $87.10 | $218.78 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $173.78 Median $288.40 Typical High $457.09 | Facility | GP · Physical therapy plan | $173.78 | $288.40 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $91.20 Median $104.71 Typical High $288.40 | Professional | GP · Physical therapy plan | $91.20 | $104.71 | $288.40 |
Where Oregon 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.
Oregon· 12th of 51
$110
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.