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 $95.50 Median $95.50 Typical High $123.03 | Facility | None | $95.50 | $95.50 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $107.15 | Professional | None | $87.10 | $95.50 | $107.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $151.36 Typical High $199.53 | Facility | None | $74.13 | $151.36 | $199.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $812.83 | Professional | None | $102.33 | $102.33 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | None | $74.13 | $74.13 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $223.87 | Professional | None | $72.44 | $104.71 | $223.87 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $134.90 Typical High $234.42 | Professional | None | $58.88 | $134.90 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $199.53 | Facility | None | $97.72 | $177.83 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $275.42 | Facility | None | $125.89 | $199.53 | $275.42 |
Premera BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $199.53 | Facility | None | $131.83 | $151.36 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | None | $102.33 | $102.33 | $117.49 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $223.87 | Professional | None | $81.28 | $87.10 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $208.93 | Professional | None | $100.00 | $109.65 | $208.93 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier GP · Physical therapy plan Typical Low $346.74 Median $436.52 Typical High $1,023.29 | Facility | GP · Physical therapy plan | $346.74 | $436.52 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $46.77 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $81.28 Median $100.00 Typical High $186.21 | Professional | GP · Physical therapy plan | $81.28 | $100.00 | $186.21 |
Where Washington 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.
Washington· 15th of 51
$102
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.