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 $64.57 Median $69.18 Typical High $281.84 | Facility | None | $64.57 | $69.18 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $128.82 | Professional | None | $64.57 | $66.07 | $128.82 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $64.57 Median $79.43 Typical High $144.54 | Professional | GO · Occupational therapy plan | $64.57 | $79.43 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $131.83 | Professional | None | $70.79 | $93.33 | $131.83 |
Anthem BCBS Setting Professional Modifier GO · Occupational therapy plan Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | GO · Occupational therapy plan | $67.61 | $67.61 | $87.10 |
CareSource Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $229.09 | Facility | None | $102.33 | $102.33 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $165.96 | Professional | None | $44.67 | $69.18 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $204.17 | Professional | None | $91.20 | $112.20 | $204.17 |
Oscar Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $158.49 | Professional | None | $69.18 | $93.33 | $158.49 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | 52 · Reduced service | $32.36 | $32.36 | $38.90 |
Where Georgia 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.
Georgia· 21st of 51
$91.20
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.