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 $69.18 Median $102.33 Typical High $123.03 | Facility | None | $69.18 | $102.33 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | None | $58.88 | $72.44 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $165.96 | Professional | None | $41.69 | $51.29 | $165.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $109.65 | Professional | None | $100.00 | $104.71 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $63.10 Typical High $169.82 | Professional | None | $37.15 | $63.10 | $169.82 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $134.90 Typical High $457.09 | Facility | None | $91.20 | $134.90 | $457.09 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $630.96 | Professional | None | $58.88 | $85.11 | $630.96 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $138.04 | Professional | None | $58.88 | $74.13 | $138.04 |
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 $34.67 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $36.31 | $41.69 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | GP · Physical therapy plan | $72.44 | $72.44 | $75.86 |
Where Missouri 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.
Missouri· 50th 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.