How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $43.65 Median $43.65 Typical High $114.82 | Facility | None | $43.65 | $43.65 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $51.29 | Professional | None | $41.69 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.88 Typical High $25.70 | Professional | 52 · Reduced service | $20.89 | $21.88 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $74.13 | Professional | None | $41.69 | $56.23 | $74.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $81.28 | Professional | None | $44.67 | $52.48 | $81.28 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $107.15 Median $109.65 Typical High $489.78 | Facility | GO · Occupational therapy plan | $107.15 | $109.65 | $489.78 |
Where Delaware 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.
Delaware· 44th of 51
$48.98
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.