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 $61.66 Median $125.89 Typical High $245.47 | Facility | None | $61.66 | $125.89 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $204.17 | Professional | None | $60.26 | $64.57 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $107.15 | Professional | None | $54.95 | $75.86 | $107.15 |
Aultcare Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aultcare Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None | $67.61 | $67.61 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $128.82 | Professional | None | $95.50 | $100.00 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $144.54 | Professional | None | $70.79 | $75.86 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $331.13 | Facility | None | $131.83 | $199.53 | $331.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $120.23 | Professional | None | $61.66 | $67.61 | $120.23 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | None | $81.28 | $100.00 | $151.36 |
SummaCare Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $123.03 | Professional | None | $81.28 | $100.00 | $123.03 |
United Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $109.65 | Facility | None | $81.28 | $91.20 | $109.65 |
United Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $104.71 | Professional | None | $58.88 | $77.62 | $104.71 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | GO · Occupational therapy plan | $77.62 | $77.62 | $77.62 |
Where Ohio 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.
Ohio· 43rd of 51
$75.86
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.