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 $91.20 Median $123.03 Typical High $245.47 | Facility | None | $91.20 | $123.03 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | None | $89.13 | $89.13 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $204.17 | Professional | None | $104.71 | $107.15 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | None | $190.55 | $223.87 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $245.47 | Facility | None | $89.13 | $125.89 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $186.21 | Professional | None | $89.13 | $112.20 | $186.21 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $204.17 | Facility | None | $123.03 | $173.78 | $204.17 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $138.04 Typical High $223.87 | Facility | None | $95.50 | $138.04 | $223.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $269.15 | Professional | None | $79.43 | $107.15 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $398.11 | Facility | None | $158.49 | $234.42 | $398.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $125.89 | Professional | None | $114.82 | $120.23 | $125.89 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $162.18 | Facility | None | $109.65 | $109.65 | $162.18 |
United Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $218.78 | Professional | None | $79.43 | $93.33 | $218.78 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $239.88 Median $275.42 Typical High $389.05 | Facility | GO · Occupational therapy plan | $239.88 | $275.42 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Where Oregon 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.
Oregon· 11th of 51
$112
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.