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 $79.43 Median $79.43 Typical High $100.00 | Facility | None | $79.43 | $79.43 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | GO · Occupational therapy plan | $85.11 | $85.11 | $85.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $186.21 | Facility | None | $102.33 | $141.25 | $186.21 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $89.13 | $93.33 | $93.33 |
BCBS Michigan Setting Professional Modifier GO · Occupational therapy plan Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | GO · Occupational therapy plan | $100.00 | $100.00 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $125.89 | Facility | None | $75.86 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $234.42 | Professional | None (both parts) | $57.54 | $81.28 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $79.43 Median $100.00 Typical High $223.87 | Facility | None | $79.43 | $100.00 | $223.87 |
Health Alliance Plan Setting Facility Modifier GO · Occupational therapy plan Typical Low $117.49 Median $234.42 Typical High $323.59 | Facility | GO · Occupational therapy plan | $117.49 | $234.42 | $323.59 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $70.79 | $75.86 | $97.72 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier GO · Occupational therapy plan Typical Low $95.50 Median $117.49 Typical High $151.36 | Professional | GO · Occupational therapy plan | $95.50 | $117.49 | $151.36 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $56.23 | $79.43 | $125.89 |
United Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $109.65 | Facility | None | $81.28 | $100.00 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $79.43 Typical High $91.20 | Professional | None (both parts) | $69.18 | $79.43 | $91.20 |
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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
Where Michigan 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.
Michigan· 37th of 51
$79.43
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.