How much rates vary
Facilitymedian $126 · 10th to 90th $87 to $417Professionalmedian $83 · 10th to 90th $41 to $117
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 $54.95 Median $93.33 Typical High $436.52 | Facility | None | $54.95 | $93.33 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $89.13 | Professional | None | $47.86 | $63.10 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $91.20 Median $229.09 Typical High $457.09 | Facility | None | $91.20 | $229.09 | $457.09 |
BCBS Texas Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | None | $74.13 | $83.18 | $83.18 |
Baylor Scott & White Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None | $100.00 | $100.00 | $109.65 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $89.13 | Professional | None | $47.86 | $70.79 | $89.13 |
Health Smart Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $123.03 | Professional | None | $85.11 | $107.15 | $123.03 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $812.83 | Professional | None | $630.96 | $812.83 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $95.50 Typical High $416.87 | Facility | None | $54.95 | $95.50 | $416.87 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $83.18 | Professional | None | $47.86 | $63.10 | $83.18 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $85.11 Typical High $107.15 | Professional | None | $15.85 | $85.11 | $107.15 |
Oscar Health Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $363.08 | Professional | None | $93.33 | $100.00 | $363.08 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $93.33 Typical High $114.82 | Facility | None | $47.86 | $93.33 | $114.82 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $89.13 | Professional | None | $47.86 | $70.79 | $89.13 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Facility | None | $77.62 | $77.62 | $107.15 |
United Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $91.20 | Professional | None | $64.57 | $74.13 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
7 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 52 · Reduced service Typical Low $27.54 Median $51.29 Typical High $218.78 | Facility | 52 · Reduced service | $27.54 | $51.29 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $31.62 Typical High $38.02 | Professional | 52 · Reduced service | $23.99 | $31.62 | $38.02 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $53.70 Median $69.18 Typical High $102.33 | Professional | GP · Physical therapy plan | $53.70 | $69.18 | $102.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $27.54 Median $45.71 Typical High $218.78 | Facility | 52 · Reduced service | $27.54 | $45.71 | $218.78 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $97.72 Median $218.78 Typical High $446.68 | Facility | GP · Physical therapy plan | $97.72 | $218.78 | $446.68 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $31.62 Typical High $38.02 | Professional | 52 · Reduced service | $23.99 | $31.62 | $38.02 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $93.33 Median $114.82 Typical High $239.88 | Professional | GP · Physical therapy plan | $93.33 | $114.82 | $239.88 |
Where Texas 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.
Texas· 31st of 51
$83.18
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.