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 $199.53 Median $199.53 Typical High $331.13 | Facility | None | $199.53 | $199.53 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $199.53 | Professional | None | $95.50 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $51.29 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $295.12 | Professional | None | $67.61 | $109.65 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $371.54 | Facility | None | $199.53 | $245.47 | $371.54 |
Moda Health Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $275.42 | Professional | None | $186.21 | $199.53 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $288.40 | Facility | None | $204.17 | $204.17 | $288.40 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $165.96 | Professional | None | $60.26 | $107.15 | $165.96 |
United Setting Professional Modifier None Typical Low $87.10 Median $239.88 Typical High $269.15 | Professional | None | $87.10 | $239.88 | $269.15 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $288.40 Median $501.19 Typical High $630.96 | Facility | GO · Occupational therapy plan | $288.40 | $501.19 | $630.96 |
Where Alaska 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.
Alaska· 1st of 51
$200
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.