How much rates vary
Facilitymedian $117 · 10th to 90th $69 to $355Professionalmedian $89 · 10th to 90th $66 to $100
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 $69.18 Median $100.00 Typical High $151.36 | Facility | None | $69.18 | $100.00 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $83.18 | Professional | None | $66.07 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.11 | $33.88 | $34.67 |
AmeriHealth Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
AmeriHealth Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $100.00 | Professional | None | $89.13 | $93.33 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $467.74 | Professional | None | $67.61 | $79.43 | $467.74 |
Emblem Health Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $134.90 | Professional | None | $81.28 | $131.83 | $134.90 |
Geisinger Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $169.82 | Professional | None | $85.11 | $102.33 | $169.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $371.54 | Facility | None | $102.33 | $239.88 | $371.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $87.10 | Professional | None | $79.43 | $83.18 | $87.10 |
Independence Blue Cross Setting Facility Modifier None Typical Low $138.04 Median $346.74 Typical High $380.19 | Facility | None | $138.04 | $346.74 | $380.19 |
Independence Blue Cross Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $177.83 | Facility | None | $66.07 | $102.33 | $177.83 |
Martin's Point Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $75.86 | Professional | None | $66.07 | $69.18 | $75.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.11 | $33.88 | $34.67 |
Oscar Health Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $371.54 | Facility | None | $131.83 | $177.83 | $371.54 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $173.78 | Professional | None | $63.10 | $83.18 | $173.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $186.21 Typical High $281.84 | Facility | None | $87.10 | $186.21 | $281.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | None | $87.10 | $87.10 | $97.72 |
United Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $107.15 | Facility | None | $97.72 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $102.33 | Professional | None | $70.79 | $75.86 | $102.33 |
5 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 Facility Modifier GP · Physical therapy plan Typical Low $165.96 Median $229.09 Typical High $524.81 | Facility | GP · Physical therapy plan | $165.96 | $229.09 | $524.81 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $25.12 Median $75.86 Typical High $81.28 | Professional | GP · Physical therapy plan | $25.12 | $75.86 | $81.28 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $120.23 Median $213.80 Typical High $363.08 | Facility | GP · Physical therapy plan | $120.23 | $213.80 | $363.08 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $75.86 Median $81.28 Typical High $87.10 | Professional | GP · Physical therapy plan | $75.86 | $81.28 | $87.10 |
Martin's Point Setting Facility Modifier GP · Physical therapy plan Typical Low $154.88 Median $223.87 Typical High $524.81 | Facility | GP · Physical therapy plan | $154.88 | $223.87 | $524.81 |
Where Pennsylvania 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.
Pennsylvania· 20th of 51
$89.13
AK $200FL $60.26
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.