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 $93.33 Median $93.33 Typical High $128.82 | Facility | None | $93.33 | $93.33 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $102.33 | Professional | None | $89.13 | $93.33 | $102.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $204.17 | Facility | None | $75.86 | $151.36 | $204.17 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $831.76 | Professional | None | $102.33 | $102.33 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | None | $81.28 | $81.28 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $229.09 | Professional | None | $72.44 | $104.71 | $229.09 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $134.90 Typical High $234.42 | Professional | None | $61.66 | $134.90 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $81.28 Median $204.17 Typical High $204.17 | Facility | None | $81.28 | $204.17 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $281.84 | Facility | None | $128.82 | $204.17 | $281.84 |
Premera BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $204.17 | Facility | None | $125.89 | $151.36 | $204.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $239.88 | Professional | None | $79.43 | $93.33 | $239.88 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $218.78 | Professional | None | $104.71 | $114.82 | $218.78 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier GO · Occupational therapy plan Typical Low $398.11 Median $446.68 Typical High $501.19 | Facility | GO · Occupational therapy plan | $398.11 | $446.68 | $501.19 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $83.18 Median $83.18 Typical High $190.55 | Professional | GO · Occupational therapy plan | $83.18 | $83.18 | $190.55 |
Where Washington 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.
Washington· 16th of 51
$102
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.