How much rates vary
Facilitymedian $120 · 10th to 90th $49 to $339Professionalmedian $72 · 10th to 90th $59 to $89
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 $51.29 Median $131.83 Typical High $380.19 | Facility | None | $51.29 | $131.83 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | None | $48.98 | $48.98 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $85.11 | Professional | None | $61.66 | $72.44 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $234.42 | Facility | None | $125.89 | $162.18 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $100.00 | Professional | None | $66.07 | $74.13 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $109.65 Typical High $380.19 | Facility | None | $34.67 | $109.65 | $380.19 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $144.54 | Professional | None | $100.00 | $114.82 | $144.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $117.49 | Professional | None | $60.26 | $95.50 | $117.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Facility | None | $234.42 | $234.42 | $309.03 |
MVP Health Care Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | None | $72.44 | $72.44 | $109.65 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $125.89 | Facility | None | $97.72 | $97.72 | $125.89 |
United Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $100.00 | Professional | None | $66.07 | $83.18 | $100.00 |
Univera Setting Facility Modifier None Typical Low $53.70 Median $117.49 Typical High $125.89 | Facility | None | $53.70 | $117.49 | $125.89 |
Univera Setting Professional Modifier None Typical Low $57.54 Median $93.33 Typical High $117.49 | Professional | None | $57.54 | $93.33 | $117.49 |
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 Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $24.55 | $30.20 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $67.61 Median $75.86 Typical High $141.25 | Professional | GP · Physical therapy plan | $67.61 | $75.86 | $141.25 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 59 · Distinct service | $87.10 | $87.10 | $87.10 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $85.11 Median $181.97 Typical High $288.40 | Facility | GP · Physical therapy plan | $85.11 | $181.97 | $288.40 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | GP · Physical therapy plan | $87.10 | $87.10 | $95.50 |
Where New York 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.
New York· 46th of 51
$72.44
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.