How much rates vary
Facilitymedian $135 · 10th to 90th $93 to $447Professionalmedian $85 · 10th to 90th $22 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 $95.50 Typical High $446.68 | Facility | None | $54.95 | $95.50 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $85.11 | Professional | None | $47.86 | $63.10 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
BCBS Texas Setting Facility Modifier None Typical Low $100.00 Median $245.47 Typical High $489.78 | Facility | None | $100.00 | $245.47 | $489.78 |
BCBS Texas Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | None | $75.86 | $85.11 | $85.11 |
Baylor Scott & White Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $275.42 | Facility | None | $181.97 | $181.97 | $275.42 |
Baylor Scott & White Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $109.65 | Professional | None | $79.43 | $100.00 | $109.65 |
Christus Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
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 $48.98 Median $70.79 Typical High $95.50 | Professional | None | $48.98 | $70.79 | $95.50 |
Health Smart Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $125.89 | Professional | None | $87.10 | $109.65 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $831.76 | Professional | None | $630.96 | $831.76 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $100.00 Typical High $416.87 | Facility | None | $54.95 | $100.00 | $416.87 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $85.11 | Professional | None | $47.86 | $66.07 | $85.11 |
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 $95.50 Median $162.18 Typical High $371.54 | Professional | None | $95.50 | $162.18 | $371.54 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $93.33 Typical High $117.49 | Facility | None | $47.86 | $93.33 | $117.49 |
Providence Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $95.50 | Professional | None | $48.98 | $70.79 | $95.50 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
United Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $91.20 | Professional | None | $64.57 | $79.43 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $54.95 Median $69.18 Typical High $97.72 | Professional | GO · Occupational therapy plan | $54.95 | $69.18 | $97.72 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $104.71 Median $239.88 Typical High $457.09 | Facility | GO · Occupational therapy plan | $104.71 | $239.88 | $457.09 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $70.79 Median $123.03 Typical High $245.47 | Professional | GO · Occupational therapy plan | $70.79 | $123.03 | $245.47 |
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· 30th of 51
$85.11
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.