How much rates vary
Facilitymedian $117 · 10th to 90th $69 to $339Professionalmedian $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 $66.07 Median $100.00 Typical High $151.36 | Facility | None | $66.07 | $100.00 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $77.62 | Professional | None | $66.07 | $69.18 | $77.62 |
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 Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
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 $93.33 | Professional | None | $89.13 | $93.33 | $93.33 |
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 $173.78 Median $213.80 Typical High $436.52 | Facility | None | $173.78 | $213.80 | $436.52 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $87.10 | Professional | None | $72.44 | $83.18 | $87.10 |
Independence Blue Cross Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $457.09 | Facility | None | $177.83 | $239.88 | $457.09 |
Independence Blue Cross Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | None | $74.13 | $74.13 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $151.36 | Facility | None | $66.07 | $102.33 | $151.36 |
Martin's Point Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $70.79 | Professional | None | $66.07 | $69.18 | $70.79 |
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 Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $158.49 | Professional | None | $63.10 | $83.18 | $158.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $309.03 | Facility | None | $87.10 | $194.98 | $309.03 |
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 $173.78 Median $234.42 Typical High $524.81 | Facility | GP · Physical therapy plan | $173.78 | $234.42 | $524.81 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | GP · Physical therapy plan | $75.86 | $75.86 | $81.28 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $128.82 Median $229.09 Typical High $398.11 | Facility | GP · Physical therapy plan | $128.82 | $229.09 | $398.11 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $75.86 Median $81.28 Typical High $89.13 | Professional | GP · Physical therapy plan | $75.86 | $81.28 | $89.13 |
Martin's Point Setting Facility Modifier GP · Physical therapy plan Typical Low $131.83 Median $223.87 Typical High $549.54 | Facility | GP · Physical therapy plan | $131.83 | $223.87 | $549.54 |
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.