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 $47.86 Median $144.54 Typical High $380.19 | Facility | None | $47.86 | $144.54 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $60.26 | Professional | None | $47.86 | $47.86 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $85.11 | Professional | None | $60.26 | $70.79 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $165.96 Typical High $229.09 | Facility | None | $125.89 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $109.65 | Professional | None | $70.79 | $83.18 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $112.20 Typical High $389.05 | Facility | None | $34.67 | $112.20 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $147.91 | Professional | None | $104.71 | $117.49 | $147.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $39.81 Median $97.72 Typical High $120.23 | Professional | None | $39.81 | $97.72 | $120.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
MVP Health Care Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $117.49 | Professional | None | $70.79 | $70.79 | $117.49 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $131.83 | Facility | None | $100.00 | $100.00 | $131.83 |
United Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | None | $67.61 | $83.18 | $102.33 |
Univera Setting Facility Modifier None Typical Low $54.95 Median $114.82 Typical High $123.03 | Facility | None | $54.95 | $114.82 | $123.03 |
Univera Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $117.49 | Professional | None | $39.81 | $87.10 | $117.49 |
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 Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | 52 · Reduced service | $23.99 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | GO · Occupational therapy plan | $69.18 | $69.18 | $134.90 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $107.15 Median $218.78 Typical High $309.03 | Facility | GO · Occupational therapy plan | $107.15 | $218.78 | $309.03 |
Where New York 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.
New York· 47th of 51
$70.79
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.