How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | None | $91.20 | $91.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $162.18 | Facility | None | $100.00 | $100.00 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $158.49 | Professional | None | $75.86 | $77.62 | $158.49 |
Highmark BCBS Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $158.49 | Professional | None | $97.72 | $154.88 | $158.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $190.55 | Professional | None | $60.26 | $77.62 | $190.55 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $190.55 Median $323.59 Typical High $549.54 | Facility | GP · Physical therapy plan | $190.55 | $323.59 | $549.54 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $91.20 Median $100.00 Typical High $104.71 | Professional | GP · Physical therapy plan | $91.20 | $100.00 | $104.71 |
Where West Virginia 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.
West Virginia· 18th of 51
$93.33
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.