How much rates vary
Facilitymedian $102 · 10th to 90th $72 to $389Professionalmedian $76 · 10th to 90th $56 to $275
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 $69.18 Median $169.82 Typical High $489.78 | Facility | None | $69.18 | $169.82 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $165.96 | Professional | None | $67.61 | $74.13 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $204.17 | Professional | None | $75.86 | $75.86 | $204.17 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $173.78 Typical High $281.84 | Facility | None | $97.72 | $173.78 | $281.84 |
Blue Shield Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $75.86 | Professional | None | $46.77 | $66.07 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $138.04 | Professional | None | $52.48 | $85.11 | $138.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $125.89 Typical High $151.36 | Professional | None | $67.61 | $125.89 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $194.98 | Professional | None | $83.18 | $112.20 | $194.98 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $144.54 | Professional | None | $70.79 | $70.79 | $144.54 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $186.21 | Facility | None | $67.61 | $97.72 | $186.21 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $128.82 | Professional | None | $52.48 | $85.11 | $128.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $154.88 | Professional | None | $69.18 | $93.33 | $154.88 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $33.88 Median $109.65 Typical High $251.19 | Facility | 52 · Reduced service | $33.88 | $109.65 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $33.88 | $37.15 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | GO · Occupational therapy plan | $89.13 | $89.13 | $89.13 |
Where California 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.
California· 42nd of 51
$75.86
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.