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 $66.07 Median $125.89 Typical High $245.47 | Facility | None | $66.07 | $125.89 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $194.98 | Professional | None | $60.26 | $61.66 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $107.15 | Professional | None | $54.95 | $75.86 | $107.15 |
Aultcare Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aultcare Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None | $67.61 | $67.61 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $128.82 | Professional | None | $95.50 | $100.00 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $144.54 | Professional | None | $70.79 | $75.86 | $144.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $363.08 | Facility | None | $128.82 | $218.78 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $93.33 | Professional | None | $56.23 | $66.07 | $93.33 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | None | $81.28 | $100.00 | $151.36 |
SummaCare Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $117.49 | Professional | None | $81.28 | $100.00 | $117.49 |
United Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $109.65 | Facility | None | $81.28 | $91.20 | $109.65 |
United Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $104.71 | Professional | None | $58.88 | $77.62 | $104.71 |
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 Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $97.72 | Professional | 52 · Reduced service | $30.20 | $30.20 | $97.72 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | GO · Occupational therapy plan | $57.54 | $77.62 | $77.62 |
Where Ohio 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.
Ohio· 41st of 51
$75.86
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.