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 $44.67 Median $79.43 Typical High $112.20 | Facility | None | $44.67 | $79.43 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $81.28 | Professional | None | $58.88 | $75.86 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $120.23 | Facility | None | $69.18 | $81.28 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | None | $50.12 | $58.88 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $104.71 Typical High $128.82 | Facility | None | $77.62 | $104.71 | $128.82 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $128.82 | Professional | None | $91.20 | $97.72 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $467.74 | Professional | None | $45.71 | $67.61 | $467.74 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $91.20 | Professional | None | $63.10 | $74.13 | $91.20 |
2 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 $29.51 Median $38.02 Typical High $39.81 | Professional | 52 · Reduced service | $29.51 | $38.02 | $39.81 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $74.13 Median $83.18 Typical High $120.23 | Professional | GP · Physical therapy plan | $74.13 | $83.18 | $120.23 |
Where Kentucky 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.
Kentucky· 49th of 51
$63.10
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.