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 $74.13 Median $165.96 Typical High $269.15 | Facility | None | $74.13 | $165.96 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | None | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $45.71 Median $194.98 Typical High $295.12 | Facility | None | $45.71 | $194.98 | $295.12 |
BCBS Arizona Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $58.88 | Professional | None | $39.81 | $52.48 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $69.18 | Professional | None | $52.48 | $58.88 | $69.18 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $158.49 | Facility | None | $57.54 | $83.18 | $158.49 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $436.52 | Professional | None | $46.77 | $64.57 | $436.52 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $69.18 | Professional | None | $43.65 | $61.66 | $69.18 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | GO · Occupational therapy plan | $47.86 | $47.86 | $53.70 |
Where Arizona sits
The same service costs 3.0 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.
Arizona· 30th of 51
$57.54
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.